Organization Active NPI

Park One Dental P.C.

  • General Practice Dentistry
  • New Hyde Park, NY
National Provider Identifier
1801396023
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK ONE DENTAL P.C.
Practice address
1601 Jericho Tpke
New Hyde Park, NY 11040
Phone
(516) 354-0033
Fax
(516) 354-0822
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Mr. Sapan Anil Mukhatiyar, DMD
Title
Owner/ Dentist
Phone
(516) 354-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NY Primary

Addresses

Primary practice location

1601 Jericho Tpke
New Hyde Park, NY 11040

Mailing address

1601 Jericho Turnpike
New Hyde Park, NY 11040
Phone (516) 354-0033

National Provider Directory

National Provider Directory

Locations

1601 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 354-0033

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1801396023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 JERICHO TURNPIKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-354-0033",
            "fax_number": "516-354-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-354-0033",
            "fax_number": "516-354-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK ONE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "MUKHATIYAR",
        "authorized_official_first_name": "SAPAN",
        "authorized_official_middle_name": "ANIL",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "516-354-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.