Organization Active NPI

Great Neck Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Great Neck, NY
National Provider Identifier
1669863072
Registry record updated Feb 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
050763 Issued in NY
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

Updated by the provider on Feb 8, 2015

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.