Active NPI
Great Neck Orthodontics PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Great Neck, NY
National Provider Identifier
1669863072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 050763
- Legal business name
- GREAT NECK ORTHODONTICS PLLC
- Practice address
- 1000 Northern Blvd
Suite 300
Great Neck, NY 11021-5338 - Phone
- (516) 466-0146
- Fax
- (516) 466-0760
- NPI assigned
- Feb 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Michael Palaganas, DDS
- Title
- Owner/Partner
- Phone
- (631) 807-8013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 050763 | NY | Primary |
Addresses
Primary practice location
1000 Northern Blvd
Suite 300
Great Neck, NY 11021-5338
Mailing address
1000 Northern Blvd
Suite 300
Great Neck, NY 11021-5338
Phone (516) 466-0146
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423353600000",
"number": "1669863072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 300",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215338",
"telephone_number": "516-466-0146",
"fax_number": "516-466-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 300",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215338",
"telephone_number": "516-466-0146",
"fax_number": "516-466-0760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT NECK ORTHODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-08",
"last_updated": "2015-02-08",
"status": "A",
"authorized_official_last_name": "PALAGANAS",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "631-807-8013",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "050763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Great Neck Ny Medical PLLC
- Great Neck Obstetrics & Gynecology PC
- Great Neck Occupational Therapy
- Great Neck Optical Inc
- Great Neck Optometrist, P.C. (Great Neck Opticians)
- Great Neck Pediatric Associates, PC
- Great Neck Podiatry Associates
- Great Neck Podiatry Associates
- Great Neck Public Schools
- Great Neck Radiologists, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.