Active NPI
Jonathan Peikarian, DDS
- Dentist
- Forest Hills, NY
National Provider Identifier
1689171043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060491
- Practice address
- 11316 76TH Rd
Forest Hills, NY 11375 - Phone
- (718) 575-9548
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 060491 | NY | Primary |
Addresses
Primary practice location
11316 76TH Rd
Forest Hills, NY 11375
Mailing address
199 W Shore Rd
Great Neck, NY 11024-1623
Other practice location 1
151 Westchester Hall
Stony Brook, NY 11794-0001
Phone (631) 444-2557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060491 | NY | MD | VA Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1689171043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 W SHORE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11316 76TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-575-9548"
}
],
"practiceLocations": [
{
"address_1": "151 Westchester Hall",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEIKARIAN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.