Organization Active NPI

First Choice Family Dental P.C.

  • General Practice Dentistry
  • Ridgewood, NY
National Provider Identifier
1720304165
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039714 Issued in NY
Legal business name
FIRST CHOICE FAMILY DENTAL P.C.
Practice address
339 Wyckoff Ave
Ridgewood, NY 11385-2726
Phone
(718) 366-0662
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Steve D Jacobs, DDS
Title
Dentist
Phone
(718) 366-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 039714 NY Primary

Addresses

Primary practice location

339 Wyckoff Ave
Ridgewood, NY 11385-2726

Mailing address

339 Wyckoff Ave
Ridgewood, NY 11385-2726
Phone (718) 366-0662

National Provider Directory

National Provider Directory

Locations

339 Wyckoff Ave
Ridgewood, NY 11385
Phone (718) 366-0662

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1720304165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WYCKOFF AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852726",
            "telephone_number": "718-366-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WYCKOFF AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852726",
            "telephone_number": "718-366-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-366-0662",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.