Avperiodontics PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

50058006 Issued in NY

Legal business name

AVPERIODONTICS PLLC

Practice address

274 Madison Ave RM 202
New York, NY 10016-0717

Phone

(929) 293-0200

Fax

(212) 889-8891

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Volchonok, DMD, MS

Title

Owner

Phone

(929) 293-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619405412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160717",
            "telephone_number": "929-293-0200",
            "fax_number": "212-889-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160717",
            "telephone_number": "929-293-0200",
            "fax_number": "212-889-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVPERIODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VOLCHONOK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-293-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "50058006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.