Organization Active NPI

Dental Access Services PLLC

  • Public Health Dentistry
  • West Hempstead, NY
National Provider Identifier
1619680154
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
DENTAL ACCESS SERVICES PLLC
Practice address
120 Woodfield Rd
West Hempstead, NY 11552-2525
Phone
(516) 489-3679
Fax
(516) 505-0611
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Dr. Reginald BorgellaNPI 1679557045
Title
Manager
Phone
(212) 206-1765

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
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

120 Woodfield Rd
West Hempstead, NY 11552-2525

Mailing address

120 Woodfield Rd
West Hempstead, NY 11552-2525
Phone (516) 489-3679

Other practice location 1

3102 Kingsbridge Ave
Bronx, NY 10463-3907
Phone (718) 543-9786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1619680154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WOODFIELD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522525",
            "telephone_number": "516-489-3679",
            "fax_number": "516-505-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WOODFIELD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522525",
            "telephone_number": "516-489-3679",
            "fax_number": "516-505-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Kingsbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104633907",
            "country_code": "US",
            "telephone_number": "718-543-9786",
            "fax_number": "718-543-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL ACCESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "BORGELLA",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-206-1765",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.