Bayside Dental Arts

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAYSIDE DENTAL ARTS

Practice address

21307 Northern Blvd
Bayside, NY 11361-3343

Phone

(917) 960-9196

NPI assigned

May 4, 2023

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrey Ilyabayev, DDSNPI 1417077181

Title

Owner

Phone

(917) 692-4374

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrey Ilyabayev, DDS

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1417077181
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1538858659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21307 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613343",
            "telephone_number": "917-960-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21307 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613343",
            "telephone_number": "917-960-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "ILYABAYEV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-692-4374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baycare RX Pharmacy Inc
• Bayside Acupuncture & Physical Therapy PLLC
• Bayside Acupuncture Wellness PC
• Bayside Chiropractic, LLC
• Bayside Community Ambulance Corps Inc
• Bayside Dental Associates LLP
• Bayside Dream Dental P.C.
• Bayside Drugs Inc (Sterling Pharmacy)
• Bayside Endoscopy Medical P.C.
• Bayside Family Dental Practice PC

• Dentist in Bayside, NY
• Providers in Bayside, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.