Organization Active NPI

Bayside Family Dental Practice PC

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1619018405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041797 Issued in NY
Legal business name
BAYSIDE FAMILY DENTAL PRACTICE PC
Practice address
21333 39TH Ave Ste 302
Bayside, NY 11361-2071
Phone
(718) 423-2626
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mariana Sapir, D.D.SNPI 1033198197
Title
Dentist
Phone
(718) 423-2626

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 041797 NY Primary

Addresses

Primary practice location

21333 39TH Ave Ste 302
Bayside, NY 11361-2071

Mailing address

21333 39TH Ave Ste 302
Bayside, NY 11361-2071

National Provider Directory

National Provider Directory

Locations

21333 39th Ave
Ste 302
Bayside, NY 11361
Phone (718) 423-2626

Practitioners & affiliated clinicians

Practitioners 2

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619018405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE STE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612071",
            "telephone_number": "718-423-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FAMILY DENTAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAPIR",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-423-2626",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • 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.