Dental Care of Astoria PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038867 Issued in NY

Legal business name

DENTAL CARE OF ASTORIA PC

Practice address

3601 31St Ave
Astoria, NY 11106-1085

Phone

(718) 278-8183

Fax

(718) 278-8188

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Harry Aristidou, D.D.S.NPI 1750402111

Title

President

Phone

(718) 278-8183

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Harry L Aristidou, DDS

  • General Practice Dentistry
  • Astoria, NY
  • NPI 1750402111
  Authorized official Same address or phone

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1548716251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 31ST AVENUE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061015",
            "telephone_number": "718-278-8183",
            "fax_number": "718-278-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061085",
            "telephone_number": "718-278-8183",
            "fax_number": "718-278-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF ASTORIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "ARISTIDOU",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-278-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "038867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03176616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetrios a Karides MD PC
• Maurine Celina Demetrius, LP
• Yohei Denawa, MD
• Dendac Dentist PC
• Andrew Deng
• Dental Health of Astoria,PC
• Dental Smiles for Kids, LLC (Dental Smiles for Kids Astoria)
• Dentalsmilep.C.
• Gustavo Raul Depetris, MD
• Laura Derubeis-Byrne

• Preferred Provider Organization in Astoria, NY
• Providers in Astoria, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.