NPIMap

Organization Active NPI

East Fordham Dental Services

  • General Practice Dentistry
  • Hempstead, NY
National Provider Identifier
1669778296
Registry record updated Jan 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047129 Issued in NY
Legal business name
EAST FORDHAM DENTAL SERVICES
Practice address
46 N Franklin St
Hempstead, NY 11550-3811
Phone
(516) 538-0925
NPI assigned
Jan 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2011

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

Authorized official

Name
Dr. Kyle White, DDS
Title
Dentist
Phone
(516) 538-0925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 047129 NY Primary

Addresses

Primary practice location

46 N Franklin St
Hempstead, NY 11550-3811

Mailing address

46 N Franklin St
Hempstead, NY 11550-3811
Phone (516) 538-0925

Other identifiers 1

IdentifierTypeStateIssuer
01951880MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296259200000",
    "number": "1669778296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503811",
            "telephone_number": "516-538-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503811",
            "telephone_number": "516-538-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FORDHAM DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-538-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

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