Organization Active NPI

A H Dental PC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1831203199
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
A H DENTAL PC
Practice address
65 Broadway Ste 408
New York, NY 10006-2546
Phone
(212) 430-3888
Fax
(212) 430-3889
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Alexander Heifitz, DDSNPI 1952405235
Title
President
Phone
(212) 430-3888

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 0471301 NY
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

65 Broadway Ste 408
New York, NY 10006-2546

Mailing address

65 Broadway
Suite 408
New York, NY 10006-2546
Phone (212) 430-3888

Other identifiers 1

IdentifierTypeStateIssuer
0471301OtherLIC

Other names 1

  • Platinum Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822001795 NY Part B Supplier - Clinic/Group Practice 9739628785 Receives reassigned benefits from 3 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

65 Broadway
Ste 408
New York, NY 10006
Phone (212) 430-3888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1831203199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY",
            "address_2": "SUITE 408",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062546",
            "telephone_number": "212-430-3888",
            "fax_number": "212-430-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BROADWAY STE 408",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062546",
            "telephone_number": "212-430-3888",
            "fax_number": "212-430-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A H DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "HEIFITZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-430-3888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0471301",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "0471301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platinum Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.