NPIMap

Organization Active NPI

Demetrius Filoukatjis, DMD, PLLC

  • General Practice Dentistry
  • New Hyde Park, NY
National Provider Identifier
1699147447
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055517 Issued in NY
Legal business name
DEMETRIUS FILOUKATJIS, DMD, PLLC
Practice address
1 Hollow LN
Suite 108
New Hyde Park, NY 11042-1220
Phone
(516) 869-3400
Fax
(516) 869-3403
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Demetrius Filoukatjis, DMDNPI 1083931414
Title
Member
Phone
(516) 869-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 055517 NY Primary

Addresses

Primary practice location

1 Hollow LN
Suite 108
New Hyde Park, NY 11042-1220

Mailing address

1 Hollow LN
Suite 108
New Hyde Park, NY 11042-1220
Phone (516) 869-3400

Other names 1

  • Lakeville Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1 Hollow Ln
Ste 108
New Hyde Park, NY 11042
Phone (516) 869-3400

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1699147447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-3400",
            "fax_number": "516-869-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421220",
            "telephone_number": "516-869-3400",
            "fax_number": "516-869-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIUS FILOUKATJIS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "FILOUKATJIS",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-869-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.