Organization Active NPI

Vered Maslavi, DDS, PC

  • Dental Clinic/Center
  • Bayside, NY
National Provider Identifier
1629265053
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49740 Issued in NY
Legal business name
VERED MASLAVI, DDS, PC
Practice address
4505 Francis Lewis Blvd
Bayside, NY 11361-3042
Phone
(718) 279-0900
Fax
(718) 279-0929
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Vered Maslavi, DDS
Title
Dentist, Director
Phone
(718) 279-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49740 NY Primary

Addresses

Primary practice location

4505 Francis Lewis Blvd
Bayside, NY 11361-3042

Mailing address

2220 Wisteria Dr
Suite 208
Snellville, GA 30078-2656
Phone (678) 252-2137

National Provider Directory

National Provider Directory
Tax ID family
Vered Maslavi DDS PC2 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.

Locations

4505 Francis Lewis Blvd
Flushing, NY 11361
Phone (718) 229-0055

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1629265053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 208",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782656",
            "telephone_number": "678-252-2137",
            "fax_number": "678-336-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613042",
            "telephone_number": "718-279-0900",
            "fax_number": "718-279-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERED MASLAVI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "MASLAVI",
        "authorized_official_first_name": "VERED",
        "authorized_official_title_or_position": "DENTIST, DIRECTOR",
        "authorized_official_telephone_number": "718-279-0900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "49740",
            "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 Oct 1, 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.