North Star Implant Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH STAR IMPLANT DENTISTRY

Doing business as

NorthStar Implant Dentistry

Practice address

150 Broadhollow Rd Ste 302
Melville, NY 11747-4901

Phone

(631) 315-1400

Fax

(516) 677-0064

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Kampf, DDSNPI 1356568737

Title

President

Phone

(631) 315-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NorthStar Implant Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter R Kampf, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Melville, NY
  • NPI 1356568737
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1790379667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 302",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474901",
            "telephone_number": "631-315-1400",
            "fax_number": "516-677-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROADHOLLOW RD STE 302",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474901",
            "telephone_number": "631-315-1400",
            "fax_number": "516-677-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "KAMPF",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-315-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356568737",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northstarimplants@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "150 Broadhollow Rd Ste 302",
            "city": "Melville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117474901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NorthStar Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Melville, NY
• Providers in Melville, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.