NPIMap

Organization Active NPI

Great Whites Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Huntington, NY
National Provider Identifier
1710257811
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
050904 Issued in NY
Legal business name
GREAT WHITES KIDS PEDIATRIC DENTISTRY
Practice address
755 Park Ave Ste 180
Huntington, NY 11743-3972
Phone
(631) 261-5100
Fax
(631) 261-5665
NPI assigned
Jan 5, 2012
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Dawn Sosnick, DDSNPI 1073727830
Title
Owner
Phone
(631) 261-5100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 054986 NY
Pediatric Dentistry 1223P0221X 050904 NY Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 050868 NY

Addresses

Primary practice location

755 Park Ave Ste 180
Huntington, NY 11743-3972

Mailing address

755 Park Ave Ste 180
Huntington, NY 11743-3972
Phone (631) 261-5100

National Provider Directory

National Provider Directory

Locations

755 Park Ave
Ste 180
Huntington, NY 11743
Phone (631) 261-5100

Practitioners & affiliated clinicians

Practitioners 6

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": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1710257811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 PARK AVE STE 180",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433972",
            "telephone_number": "631-261-5100",
            "fax_number": "631-261-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVE STE 180",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433972",
            "telephone_number": "631-261-5100",
            "fax_number": "631-261-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT WHITES KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "SOSNICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-261-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054986",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "050904",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.