Active NPI
Zivkovic Dentistry PC
- Dentist
- Astoria, NY
National Provider Identifier
1699367912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jovanka Zivkovic
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Astoria, NY
- NPI 1215334644
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.