NPIMap

Organization Active NPI

Astoria Dental Studio, P.C.

  • General Practice Dentistry
  • Astoria, NY
National Provider Identifier
1588949804
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054200 Issued in NY
Legal business name
ASTORIA DENTAL STUDIO, P.C.
Practice address
3018 31St Ave
Astoria, NY 11106-2405
Phone
(718) 545-7046
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dr. Lena Sapozhnikoff, DDS
Title
President
Phone
(718) 545-7046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 054200 NY Primary

Addresses

Primary practice location

3018 31St Ave
Astoria, NY 11106-2405

Mailing address

3018 31St Ave
Astoria, NY 11106-2405
Phone (718) 545-7046

Other identifiers 1

IdentifierTypeStateIssuer
03238213MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1588949804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-545-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062405",
            "telephone_number": "718-545-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA DENTAL STUDIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SAPOZHNIKOFF",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-545-7046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03238213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.