Active NPI
Eklea Cakuli, DDS
- General Practice Dentistry
- Floral Park, NY
National Provider Identifier
1750531554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054419
- Practice address
- 174 Jericho Tpke
Floral Park, NY 11001-2024 - Phone
- (516) 354-8917
- NPI assigned
- Sep 29, 2008
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | P64182 | NY | |
| General Practice Dentistry | 1223G0001X | 054419 | NY | Primary |
Addresses
Primary practice location
174 Jericho Tpke
Floral Park, NY 11001-2024
Mailing address
174 Jericho Tpke
Floral Park, NY 11001-2024
Phone (516) 354-8917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P64182 | NY | MD | Dentist |
| 054419 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Dental PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Horizon Dental Center
- General Practice Dentistry
- Forest Hills, NY
- NPI 1730224866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1750531554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012024",
"telephone_number": "516-354-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012024",
"telephone_number": "516-354-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAKULI",
"first_name": "EKLEA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "P64182",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.