Individual provider Active NPI

Emmanuil Diamantakis, DDS

  • Dentist
  • Syosset, NY
National Provider Identifier
1780942490
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056813 Issued in NY
Practice address
590 Jericho Tpke
Syosset, NY 11791-4522
Phone
(516) 433-2211
NPI assigned
May 1, 2012
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056813 NY Primary

Addresses

Primary practice location

590 Jericho Tpke
Syosset, NY 11791-4522

Mailing address

590 Jericho Tpke
Syosset, NY 11791-4522
Phone (516) 433-2211

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

LicenseStateTypeSpecialty
056813NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kobak & Diamantakis DDS PC CurrentSince Mar 30, 2025 Accepting new patients

Locations

590 Jericho Tpke
Syosset, NY 11791
Phone (516) 433-2211

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.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1780942490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-433-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-433-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTAKIS",
        "first_name": "EMMANUIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.