Organization Active NPI

Zivkovic Dentistry PC

  • Dentist
  • Astoria, NY
National Provider Identifier
1699367912
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZIVKOVIC DENTISTRY PC
Doing business as
Mamut dentistry
Practice address
3046 35TH St
Astoria, NY 11103-4702
Phone
(718) 701-1225
Fax
(718) 701-1265
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Dr. Jovanka ZivkovicNPI 1215334644
Title
Dentist/Owner
Phone
(718) 701-1225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3046 35TH St
Astoria, NY 11103-4702

Mailing address

3046 35TH St
Astoria, NY 11103-4702
Phone (718) 701-1225

Other names 1

  • Mamut dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3046 35th St
Astoria, NY 11103
Phone (516) 425-3112

Practitioners & affiliated clinicians

Practitioners 1

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": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1699367912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 35TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034702",
            "telephone_number": "718-701-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 35TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034702",
            "telephone_number": "718-701-1225",
            "fax_number": "718-701-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVKOVIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "ZIVKOVIC",
        "authorized_official_first_name": "JOVANKA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "718-701-1225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mamut dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.