Individual provider Active NPI

Charles Davidowitz, DDS

  • General Practice Dentistry
  • Huntington Station, NY
National Provider Identifier
1568638906
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35389 Issued in NY
Practice address
198 W Hills Rd
Huntington Station, NY 11746-3142
Phone
(631) 423-2198
Fax
(631) 423-2198
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35389 NY Primary

Addresses

Primary practice location

198 W Hills Rd
Huntington Station, NY 11746-3142

Mailing address

198 W Hills Rd
Huntington Station, NY 11746-3142
Phone (631) 423-2198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35389NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1568638906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 W HILLS RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463142",
            "telephone_number": "631-423-2198",
            "fax_number": "631-423-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W HILLS RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463142",
            "telephone_number": "631-423-2198",
            "fax_number": "631-423-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOWITZ",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.