Nanuet Mall Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049059 Issued in NY

Legal business name

NANUET MALL DENTAL, P.C.

Practice address

75 W Route 59
Suite# 1009a
Nanuet, NY 10954-2700

Phone

(845) 624-7500

Fax

(845) 624-7505

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yelena Khrapko, DDS

Title

General Dentist

Phone

(845) 624-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609093905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W ROUTE 59",
            "address_2": "SUITE# 1009A",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542700",
            "telephone_number": "845-624-7500",
            "fax_number": "845-624-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W ROUTE 59",
            "address_2": "SUITE# 1009A",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542700",
            "telephone_number": "845-624-7500",
            "fax_number": "845-624-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANUET MALL DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHRAPKO",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "845-624-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02550030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myung K Kim Acupuncture PC
• Daniela Naclerio, MS, OTR/L
• Nancy J. Schiffman, OD PC.
• Nanuet Community Ambulance Corps, Inc.
• Nanuet Family Dentistry
• Nanuet Medical Professionals, LLC
• Nanuet Medical Services, P.C.
• Nanuet Union Free School District
• Nanuet Vision Center
• Mohammed Naqvi

• General Practice Dentistry in Nanuet, NY
• Providers in Nanuet, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.