NPIMap

Organization Active NPI

Gold Coast Family Dental

  • General Practice Dentistry
  • Port Washington, NY
National Provider Identifier
1629517891
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOLD COAST FAMILY DENTAL
Practice address
2 Cow Neck Rd
Port Washington, NY 11050-1712
Phone
(516) 883-4477
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Doron Keren
Title
Owner
Phone
(516) 883-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2 Cow Neck Rd
Port Washington, NY 11050-1712

Mailing address

2 Cow Neck Rd
Port Washington, NY 11050-1712

National Provider Directory

National Provider Directory
Tax ID family
A-Gold Coast 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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1629517891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COW NECK RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COW NECK RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501712",
            "telephone_number": "516-883-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KEREN",
        "authorized_official_first_name": "DORON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-883-4477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.