Organization Active NPI

Oakwood Dental, P.C.

Doing business as Smile Design Dental Group

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1720025000
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OAKWOOD DENTAL, P.C.
Doing business as
Smile Design Dental Group
Practice address
2936 Hylan Blvd
Staten Island, NY 10306-4056
Phone
(718) 987-6453
Fax
(718) 980-4588
NPI assigned
Jun 2, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Dr. Sandra Lisa Kaplan, D.D.S.NPI 1417173535
Title
Vice-President
Phone
(718) 987-6453

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2936 Hylan Blvd
Staten Island, NY 10306-4056

Mailing address

2936 Hylan Blvd
Staten Island, NY 10306-4056
Phone (718) 987-6453

Other names 1

  • Smile Design Dental Group Doing business as

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1720025000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453",
            "fax_number": "718-980-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453",
            "fax_number": "718-980-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-987-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.