Active NPI
Amit Kiran Dhar, DDS
- General Practice Dentistry
- New Hyde Park, NY
National Provider Identifier
1821061763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- A045357
- Practice address
- 1613 Hillside Ave
New Hyde Park, NY 11040-2603 - Phone
- (516) 616-4800
- Fax
- (516) 616-0364
- NPI assigned
- Feb 10, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | A045357 | NY | Primary |
Addresses
Primary practice location
1613 Hillside Ave
New Hyde Park, NY 11040-2603
Mailing address
1613 Hillside Ave
New Hyde Park, NY 11040-2603
Phone (516) 616-4800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30798 | Other | NY | AETNA HMO/DMO |
| 0002490 | Other | NY | GUARDIAN MDG |
| 158091 | Other | NY | CIGNA HMO |
| 02249374 | Medicaid | NY |
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 |
|---|---|---|---|
| A045357 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Island Dental Arts Corp. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- New Hyde Park, NY
- NPI 1295253607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821061763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402603",
"telephone_number": "516-616-4800",
"fax_number": "516-616-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402603",
"telephone_number": "516-616-4800",
"fax_number": "516-616-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHAR",
"first_name": "AMIT",
"middle_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "A045357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO/DMO",
"identifier": "30798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN MDG",
"identifier": "0002490",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "158091",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02249374",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.