Active NPI
Erick S. Trivedi D.D.S, P.C
- Dental Clinic/Center
- Amityville, NY
National Provider Identifier
1801068903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 049545
- Legal business name
- ERICK S. TRIVEDI D.D.S, P.C
- Practice address
- 200 Albany Ave
Amityville, NY 11701-2501 - Phone
- (631) 842-0300
- NPI assigned
- Mar 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erick S. Trivedi, DDS
- Title
- Dentist
- Phone
- (631) 842-0300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 049545 | NY | Primary |
Addresses
Primary practice location
200 Albany Ave
Amityville, NY 11701-2501
Mailing address
200 Albany Ave
Amityville, NY 11701-2501
Phone (631) 842-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02220693 | Medicaid | NY |
Other names 1
- South Amityville Dental
National Provider Directory
National Provider DirectoryLocations
200 Albany Ave
Amityville, NY 11701
Phone (631) 842-0300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Amityville, NY
- NPI 1942356837
-
- Dentist
- Amityville, NY
- NPI 1215939632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1801068903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ALBANY AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012501",
"telephone_number": "631-842-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ALBANY AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012501",
"telephone_number": "631-842-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERICK S. TRIVEDI D.D.S, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "TRIVEDI",
"authorized_official_first_name": "ERICK",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "631-842-0300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "049545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02220693",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Amityville Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.