Individual provider Active NPI

Avrekh Ariyev, DDS

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1609372788
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060401 Issued in NY
Practice address
1 Barstow Rd Ste P4
Great Neck, NY 11021-3535
Phone
(516) 487-3655
NPI assigned
Apr 5, 2018
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 060401 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1 Barstow Rd Ste P4
Great Neck, NY 11021-3535

Mailing address

8749 62ND Rd
Rego Park, NY 11374-2731
Phone (646) 240-0638

Other practice location 1

380 Union Ave
Brooklyn, NY 11211-3429
Phone (718) 736-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002360 NY Order and Referring Only - DentistPractitioner - Dentist 5698205003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avrekh Ariyev Dental PC General Practice CurrentSince Jul 24, 2022 Accepting new patients

Locations

1 Barstow Rd
Ste P4
Great Neck, NY 11021
Phone (516) 487-3655

Interoperability endpoints

  • Direct secure messaging: aariyev719445@nyumc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1609372788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8749 62ND RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742731",
            "telephone_number": "646-240-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P4",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213535",
            "telephone_number": "516-487-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112113429",
            "country_code": "US",
            "telephone_number": "718-736-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARIYEV",
        "first_name": "AVREKH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2022-07-20",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060401",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.