Organization Active NPI

Michael I Katayev DDS.,PC

  • Dental Clinic/Center
  • Rego Park, NY
National Provider Identifier
1720253545
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL I KATAYEV DDS.,PC
Practice address
8918 63Rd Dr
Rego Park, NY 11374-3858
Phone
(718) 730-9222
Fax
(718) 730-9117
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Michael I Katayev, DDSNPI 1285843425
Title
Dentist
Phone
(718) 730-9222

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8918 63Rd Dr
Rego Park, NY 11374-3858

Mailing address

8918 63Rd Dr
Rego Park, NY 11374-3858
Phone (718) 730-9222

National Provider Directory

National Provider Directory

Locations

8918 63rd Dr
Rego Park, NY 11374
Phone (718) 443-9356

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1720253545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743858",
            "telephone_number": "718-730-9222",
            "fax_number": "718-730-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743858",
            "telephone_number": "718-730-9222",
            "fax_number": "718-730-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I KATAYEV DDS.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "KATAYEV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-730-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Apr 23, 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.