NPIMap

Organization Active NPI

Woodside Dental Center P.C.

  • Dentist
  • Woodside, NY
National Provider Identifier
1659539302
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0390221 Issued in NY
Legal business name
WOODSIDE DENTAL CENTER P.C.
Practice address
3973 61St St
Woodside, NY 11377-3554
Phone
(718) 429-5656
Fax
(718) 458-5205
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Larry P. Markel, D.M.D.
Title
President
Phone
(718) 429-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0390221 NY Primary

Addresses

Primary practice location

3973 61St St
Woodside, NY 11377-3554

Mailing address

3973 61St St
Woodside, NY 11377-3554
Phone (718) 429-5656

National Provider Directory

National Provider Directory

Locations

3973 61st St
Woodside, NY 11377
Phone (718) 429-5656

Practitioners & affiliated clinicians

Practitioners 4

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1659539302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 61ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773554",
            "telephone_number": "718-429-5656",
            "fax_number": "718-458-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 61ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773554",
            "telephone_number": "718-429-5656",
            "fax_number": "718-458-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MARKEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-429-5656",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0390221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.