NPIMap

Organization Active NPI

Yuriy Nektalov, DDS, PC

  • Dentist
  • Rego Park, NY
National Provider Identifier
1700039807
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047891 Issued in NY
Legal business name
YURIY NEKTALOV, DDS, PC
Practice address
9424 63Rd Dr
Rego Park, NY 11374-2028
Phone
(718) 997-7762
Fax
(718) 897-9060
NPI assigned
Nov 3, 2008
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Yuriy Nektalov, DDSNPI 1912017617
Title
Dentist
Phone
(718) 997-7762

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 047891 NY Primary

Addresses

Primary practice location

9424 63Rd Dr
Rego Park, NY 11374-2028

Mailing address

9424 63Rd Dr
Rego Park, NY 11374-2028
Phone (718) 997-7762

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, 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": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1700039807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742028",
            "telephone_number": "718-997-7762",
            "fax_number": "718-897-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742028",
            "telephone_number": "718-997-7762",
            "fax_number": "718-897-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURIY NEKTALOV, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "NEKTALOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-997-7762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.