Queens Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37540 Issued in NY

Legal business name

QUEENS FAMILY DENTAL

Practice address

40-49 167TH Street
Flushing, NY 11358

Phone

(718) 445-5610

Fax

(718) 886-8446

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William George Eliades, DDSNPI 1235323049

Title

Dentist Owner

Phone

(718) 445-5610

Specialties & licenses 1

Addresses

Tax ID family

Queens Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Queens Family Dental

  • General Practice Dentistry
  • Astoria, NY
  • NPI 1871743757
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Queens Family Dental

  • General Practice Dentistry
  • Astoria, NY
  • NPI 1871743757
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William George Eliades, DDS

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1235323049
  NPD (past) Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1629263470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40-49 167TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-445-5610",
            "fax_number": "718-886-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-49 167TH STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-445-5610",
            "fax_number": "718-886-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ELIADES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "718-445-5610",
        "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": "37540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Diabetes & Endocrinology, P.C.
• Queens Diagnostic & Preventive Cardiac PC
• Queens Dialysis at the Pavilion, LLC
• Queens Emergency Dental
• Queens Emergency Medical Associates PLLC
• Queens Family Medicine, PLLC
• Queens Hearing Center, Inc.
• Queens Internal Medicine & Geriatric PC
• Queens Long Island Certified Home Health Agency LLC
• Queens Long Island Certified Home Health Agency LLC

• General Practice Dentistry in Flushing, NY
• Providers in Flushing, 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 Sep 13, 2007; 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.