Active NPI
Westside Dentist, PC
- Dental Clinic/Center
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 046914
- Legal business name
- WESTSIDE DENTIST, PC
- Practice address
- 25 Central Park W
Suite 1C
New York, NY 10023-7253 - Phone
- (212) 247-5050
- Fax
- (212) 581-3596
- NPI assigned
- Apr 24, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anna Barantsevich, DDS
- Title
- Dentist
- Phone
- (212) 247-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 046914 | NY | Primary |
Addresses
Primary practice location
25 Central Park W
Suite 1C
New York, NY 10023-7253
Mailing address
25 Central Park W
Suite 1C
New York, NY 10023-7253
Phone (212) 247-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144354549 | Other | NY | DENTIST |
National Provider Directory
National Provider Directory- Tax ID family
- Westside Dentist PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- New York, NY
- NPI 1346640190
Locations
25 Central Park W
Apt 1C
New York, NY 10023
Phone (212) 247-5050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- New York, NY
- NPI 1144354549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629297254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CENTRAL PARK W",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237253",
"telephone_number": "212-247-5050",
"fax_number": "212-581-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CENTRAL PARK W",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237253",
"telephone_number": "212-247-5050",
"fax_number": "212-581-3596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE DENTIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARANTSEVICH",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "212-247-5050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "046914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1144354549",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, 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.