Active NPI
Kruno Tovilo, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Astoria, NY
National Provider Identifier
1801556949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 058922
- Practice address
- 3119 Newtown Ave Ste 200
Astoria, NY 11102-1392 - Phone
- (718) 721-5100
- NPI assigned
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 058922 | NY | Primary |
Addresses
Primary practice location
3119 Newtown Ave Ste 200
Astoria, NY 11102-1392
Mailing address
3119 Newtown Ave Ste 200
Astoria, NY 11102-1392
Phone (718) 721-5100
Other practice location 1
1815 Francis Lewis Blvd
Whitestone, NY 11357-3836
Phone (718) 746-8900
Other practice location 2
500 Portion Rd Ste 15
Ronkonkoma, NY 11779-4587
Phone (631) 588-1199
Other practice location 3
1990 Deer Park Ave
Deer Park, NY 11729-3303
Phone (631) 586-7654
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058922 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1801556949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE STE 200",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021392",
"telephone_number": "718-721-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE STE 200",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021392",
"telephone_number": "718-721-5100"
}
],
"practiceLocations": [
{
"address_1": "1815 Francis Lewis Blvd",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113573836",
"country_code": "US",
"telephone_number": "718-746-8900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Portion Rd Ste 15",
"address_purpose": "LOCATION",
"city": "Ronkonkoma",
"state": "NY",
"postal_code": "117794587",
"country_code": "US",
"telephone_number": "631-588-1199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1990 Deer Park Ave",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117293303",
"country_code": "US",
"telephone_number": "631-586-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOVILO",
"first_name": "KRUNO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "058922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.