Organization Active NPI

Simon Bangiyev DDS, MD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond Hill, NY
National Provider Identifier
1700445194
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SIMON BANGIYEV DDS, MD, PC
Practice address
10232 Jamaica Ave
Richmond Hill, NY 11418-2009
Phone
(718) 805-6000
NPI assigned
Jun 10, 2019
Organization subpart
Yes
Parent organization
SIMON BANGIYEV, DDS, MD, PC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Dr. Simon Bangiyev, DDS, MD.NPI 1366671281
Title
Owner
Phone
(718) 805-6000

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

10232 Jamaica Ave
Richmond Hill, NY 11418-2009

Mailing address

10232 Jamaica Ave
Richmond Hill, NY 11418-2009
Phone (718) 805-6000

National Provider Directory

National Provider Directory
Tax ID family
Simon Bangiyev DDS MD PC Dba Premier Oral Surgery2 organizations share this tax ID, including this one
Part of
Simon Bangiyev DDS MD PC Dba Premier Oral Surgery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10232 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 805-0500

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": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1700445194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10232 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182009",
            "telephone_number": "718-805-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10232 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182009",
            "telephone_number": "718-805-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON BANGIYEV DDS, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMON BANGIYEV, DDS, MD, PC.",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-805-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.