Organization Active NPI

Teeth Tamers Dental Care, PC

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1699946277
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48848 Issued in NY
Legal business name
TEETH TAMERS DENTAL CARE, PC
Practice address
25 Burns St
Ste 1C
Forest Hills, NY 11375-5268
Phone
(718) 261-4747
Fax
(718) 261-4945
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Oleg Vinson, DDSNPI 1093783730
Title
President
Phone
(718) 261-4747

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 48848 NY Primary

Addresses

Primary practice location

25 Burns St
Ste 1C
Forest Hills, NY 11375-5268

Mailing address

25 Burns St
Ste 1C
Forest Hills, NY 11375-5268
Phone (718) 261-4747

Other identifiers 1

IdentifierTypeStateIssuer
02066273MedicaidNY

National Provider Directory

National Provider Directory

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": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1699946277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BURNS ST",
            "address_2": "STE 1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755268",
            "telephone_number": "718-261-4747",
            "fax_number": "718-261-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BURNS ST",
            "address_2": "STE 1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755268",
            "telephone_number": "718-261-4747",
            "fax_number": "718-261-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEETH TAMERS DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "48848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066273",
            "state": "NY"
        }
    ],
    "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 Mar 21, 2008; 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.