Altmark Kidz Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0501662 Issued in NY

Legal business name

ALTMARK KIDZ DENTISTRY

Practice address

77 Veterans Memorial Hwy
Commack, NY 11725-3410

Phone

(631) 499-2100

Fax

(631) 499-2548

NPI assigned

May 22, 2014

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pilar Maria Rivera I

Title

Director of Billing

Phone

(631) 499-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1679985824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-2100",
            "fax_number": "631-499-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-2100",
            "fax_number": "631-499-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMARK KIDZ DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "PILAR",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "631-499-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0501662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Jean Allan, AGPCNP-BC
• Marc Allen, DO
• Shayne Alleyne-Husbands, MS
• Michael E Allison, EMT-P
• Alpha Diagnostic Services LLC
• Jonathan Adam Altmark, DDS
• George Ambizas
• Allison Marie Ambort, MS, OTR/L, C/NDT
• Daniel A Ambrose
• Komal Amin, M.D.

• Pediatric Dentistry in Commack, NY
• Providers in Commack, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.