Family Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY DENTAL PC

Practice address

645 W 207TH St
New York, NY 10034-2654

Phone

(212) 304-1666

Fax

(212) 304-1666

NPI assigned

Jun 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rudolf DDS Akilov, DDSNPI 1649316720

Title

Dentist

Phone

(212) 304-1666

Specialties & licenses 1

Addresses

Other names 1

• family dental pc Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudolf Akilov, DDS

  • Dentist
  • New York, NY
  • NPI 1649316720
  NPD (past) Authorized official
• Roman L Akilov

  • General Practice Dentistry
  • New York, NY
  • NPI 1780721951
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1770143364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342654",
            "telephone_number": "212-304-1666",
            "fax_number": "212-304-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 207TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342654",
            "telephone_number": "212-304-1666",
            "fax_number": "212-304-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "AKILOV",
        "authorized_official_first_name": "RUDOLF",
        "authorized_official_middle_name": "DDS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-304-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "family dental pc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hannah Solin Famiglietti, M.D.
• Lauren Marie Familia, MS
• Families and Individuals in Recovery
• Family Center for Bipolar Disorder at Beth Israel Medical Center
• Family Choice Pharmacy Corp
• Family Dentistry of New York
• Family Eye Medical Surgical and Laser Eye Care PC
• Family Foot Care Group
• Family Health NP on Demand, PLLC
• Family Health Physical Therapy, PLLC

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.