Organization Active NPI

Queens County Endodontics

  • Endodontics
  • Bellerose, NY
National Provider Identifier
1649551433
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
QUEENS COUNTY ENDODONTICS
Practice address
24208 Hillside Ave
Bellerose, NY 11426-1336
Phone
(718) 412-0945
Fax
(917) 387-8695
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Dr. Michael J Collura
Title
Owner
Phone
(631) 462-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

24208 Hillside Ave
Bellerose, NY 11426-1336

Mailing address

24208 Hillside Ave
Bellerose, NY 11426-1336
Phone (718) 412-0945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1649551433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24208 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261336",
            "telephone_number": "718-412-0945",
            "fax_number": "917-387-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24208 HILLSIDE AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261336",
            "telephone_number": "718-412-0945",
            "fax_number": "917-387-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COUNTY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "COLLURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-4600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.