NPIMap

Organization Active NPI

Advanced Quality Dental Health PC

  • Dentist
  • Elmhurst, NY
National Provider Identifier
1659354975
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0406371 Issued in NY
Legal business name
ADVANCED QUALITY DENTAL HEALTH PC
Practice address
4016 83Rd St
Advanced Quality Dental Health PC
Elmhurst, NY 11373-1307
Phone
(718) 899-5309
Fax
(718) 899-5309
NPI assigned
Nov 21, 2005
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Carlina Damianou, DMDNPI 1538469366
Title
Owner President Dentist
Phone
(718) 899-5309

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)CodeLicenseStatePrimary
Dentist 122300000X 0406371 NY Primary

Addresses

Primary practice location

4016 83Rd St
Advanced Quality Dental Health PC
Elmhurst, NY 11373-1307

Mailing address

4016 83Rd St
Advanced Quality Dental Health PC
Elmhurst, NY 11373-1307
Phone (718) 899-5309

Other identifiers 3

IdentifierTypeStateIssuer
0016321OtherNYFIDELIS
013611OtherNYDORAL
01025290MedicaidNY

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1659354975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 83RD ST",
            "address_2": "ADVANCED QUALITY DENTAL HEALTH PC",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731307",
            "telephone_number": "718-899-5309",
            "fax_number": "718-899-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 83RD ST",
            "address_2": "ADVANCED QUALITY DENTAL HEALTH PC",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731307",
            "telephone_number": "718-899-5309",
            "fax_number": "718-899-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED QUALITY DENTAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "DAMIANOU",
        "authorized_official_first_name": "CARLINA",
        "authorized_official_title_or_position": "OWNER PRESIDENT DENTIST",
        "authorized_official_telephone_number": "718-899-5309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0406371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "0016321",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "013611",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01025290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.