TCN Dental Care P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054092 Issued in NY

Legal business name

TCN DENTAL CARE P.C.

Practice address

16110 Jamaica Ave
Suite 313
Jamaica, NY 11432-6149

Phone

(718) 523-8400

Fax

(718) 523-0565

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edward Shalomov, DDSNPI 1699921437

Title

Dentist/President

Phone

(718) 523-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Shalomov, DDS

  • Dentist
  • Jamaica, NY
  • NPI 1699921437
  NPD (past) Authorized official

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1649573197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "address_2": "SUITE 313",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326149",
            "telephone_number": "718-523-8400",
            "fax_number": "718-523-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 JAMAICA AVE",
            "address_2": "SUITE 313",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326149",
            "telephone_number": "718-523-8400",
            "fax_number": "718-523-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCN DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "SHALOMOV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "718-523-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699921437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Taylor, LMSW
• Kalia Simone Taylor
• Karen Taylor, CASAC MC
• Kiara Taylor
• Linda Taylor
• Teara Fields Ministries Inc
• Douye Christina Tebepah
• Ismaela Tezera Teferi, M.D.
• Elizabeth Telemaque, RN
• Tayla Telford

• Dental Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.