NPIMap

Organization Active NPI

Asdaq Dental PC

  • Dentist
  • Corona, NY
National Provider Identifier
1689979668
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051344 Issued in NY
Legal business name
ASDAQ DENTAL PC
Practice address
10101 43Rd. Ave
Corona, NY 11368-2435
Phone
(718) 478-4100
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Asdaq KhakwaniNPI 1073561395
Title
Dentist
Phone
(718) 640-4713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051344 NY Primary

Addresses

Primary practice location

10101 43Rd. Ave
Corona, NY 11368-2435

Mailing address

101-01A 43Rd. Ave
Corona, NY 11368-2435
Phone (718) 478-4100

National Provider Directory

National Provider Directory

Locations

10101 43rd Ave
Corona, NY 11368
Phone (718) 478-4100

10101 43rd Ave
#A
Corona, NY 11368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1689979668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101-01A 43RD. AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682435",
            "telephone_number": "718-478-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 43RD. AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682435",
            "telephone_number": "718-478-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASDAQ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "KHAKWANI",
        "authorized_official_first_name": "ASDAQ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-640-4713"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.