Organization Active NPI

Ave a Dental PC

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1720859366
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AVE A DENTAL PC
Practice address
57 Avenue a
New York, NY 10009-7324
Phone
(212) 259-0595
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Dmitriy Volotsenko, DDS
Title
President
Phone
(917) 797-8052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

57 Avenue a
New York, NY 10009-7324

Mailing address

57 Avenue a
New York, NY 10009-7324
Phone (212) 259-0595

National Provider Directory

National Provider Directory

Locations

57 Avenue A
New York, NY 10009
Phone (212) 259-0595

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1720859366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 AVENUE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097324",
            "telephone_number": "212-259-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 AVENUE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097324",
            "telephone_number": "212-259-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE A DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "VOLOTSENKO",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-797-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.