Organization Active NPI

Isaac Datikashvili Dentistry PLLC

Doing business as Emergency Dentist NYC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1639648819
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ISAAC DATIKASHVILI DENTISTRY PLLC
Doing business as
Emergency Dentist NYC
Practice address
100 E 12TH St
New York, NY 10003-5375
Phone
(212) 600-4274
NPI assigned
Nov 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. Isaac Datikashvili, DMDNPI 1396954848
Title
Chief Doctor
Phone
(215) 917-6886

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

100 E 12TH St
New York, NY 10003-5375

Mailing address

100 E 12TH St
New York, NY 10003-5375
Phone (212) 600-4274

Other names 1

  • Emergency Dentist NYC Doing business as

National Provider Directory

National Provider Directory

Locations

100 E 12th St
New York, NY 10003
Phone (212) 600-4274

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": "1542412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1639648819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035375",
            "telephone_number": "212-600-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035375",
            "telephone_number": "212-600-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC DATIKASHVILI DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "DATIKASHVILI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CHIEF DOCTOR",
        "authorized_official_telephone_number": "215-917-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dentist NYC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2026; 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.