Organization Active NPI

Gentle Dentistry PC

  • General Practice Dentistry
  • Middle Village, NY
National Provider Identifier
1568638195
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENTLE DENTISTRY PC
Practice address
6112 69TH St
Unit P 1
Middle Village, NY 11379-1142
Phone
(718) 456-8574
Fax
(718) 456-8575
NPI assigned
May 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Authorized official

Name
Dr. Adam Kleczek, DDSNPI 1629343090
Title
President
Phone
(718) 456-8574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6112 69TH St
Unit P 1
Middle Village, NY 11379-1142

Mailing address

6112 69TH St
Unit P 1
Middle Village, NY 11379-1142
Phone (718) 456-8574

National Provider Directory

National Provider Directory

Locations

6112 69th St
Apt P1
Middle Village, NY 11379
Phone (718) 456-8574

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209859200000",
    "number": "1568638195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 69TH ST",
            "address_2": "UNIT P 1",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791142",
            "telephone_number": "718-456-8574",
            "fax_number": "718-456-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 69TH ST",
            "address_2": "UNIT P 1",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791142",
            "telephone_number": "718-456-8574",
            "fax_number": "718-456-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A",
        "authorized_official_last_name": "KLECZEK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-456-8574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.