Individual provider Active NPI

Charles K Ariza, DDS

  • Dentist
  • Jamaica, NY
National Provider Identifier
1801441852
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
062357 Issued in NY
Practice address
8639 Woodhaven Blvd
Jamaica, NY 11421-1438
Phone
(718) 845-7772
NPI assigned
Aug 6, 2019
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 062357 NY Primary
General Practice Dentistry 1223G0001X DN24436 FL
General Practice Dentistry 1223G0001X 1002170-15 WI

Addresses

Primary practice location

8639 Woodhaven Blvd
Jamaica, NY 11421-1438

Mailing address

8555 106TH St
Richmond Hill, NY 11418-1130
Phone (646) 392-6883

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
062357NYMDDentist
DN24436FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ariza Dental Care, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Joel Schwitzer DMD PC General Practice CurrentSince Dec 22, 2024 Accepting new patients

Locations

8639 Woodhaven Blvd
Woodhaven, NY 11421
Phone (718) 845-7772

Organizations & group practices 2

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1801441852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 106TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181130",
            "telephone_number": "646-392-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 WOODHAVEN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114211438",
            "telephone_number": "718-845-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZA",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062357",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24436",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002170-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.