Queensvillagedentalcare,P.C.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

042201 Issued in NY

Legal business name

QUEENSVILLAGEDENTALCARE,P.C.

Practice address

22005 94TH Dr
Queens Village, NY 11428-2105

Phone

(718) 465-3265

Fax

(718) 776-4260

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Terence Teekah Mahase, D.D.S

Title

President

Phone

(718) 465-3265

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman H Klein, D.D.S.

  • Dentist
  • Queens Village, NY
  • NPI 1215918776
  NPD (past)
• David J Maslansky, D.D.S.

  • Dentist
  • Queens Village, NY
  • NPI 1235278946
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1679958052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22005 94TH DR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282105",
            "telephone_number": "718-465-3265",
            "fax_number": "718-776-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22005 94TH DR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282105",
            "telephone_number": "718-465-3265",
            "fax_number": "718-776-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSVILLAGEDENTALCARE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "MAHASE",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "TEEKAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-465-3265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "042201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Village Dental Associates PC
• Queens Village Hollis Bellerose Volunteer Ambulance Corps Inc
• Queens Village Inc.
• Queens Village Pharmacy Inc.
• Queens Village Primary Medical Care, PLLC
• Carlos Quiles
• R.a.B. Care Physical Therapy, P.C.
• R&D Brothers Inc
• Chantale Racine, LPN
• Sigalit Rafailov, MS

• Health Maintenance Organization in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.