Active NPI
Arista Dental Care, PC
- General Practice Dentistry
- Astoria, NY
National Provider Identifier
1851861264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ARISTA DENTAL CARE, PC
- Practice address
- 3027 30TH St
Astoria, NY 11102-2261 - Phone
- (718) 721-0330
- NPI assigned
- Nov 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kokolis, D.D.S.
- Title
- Owner
- Phone
- (718) 721-0330
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3027 30TH St
Astoria, NY 11102-2261
Mailing address
3027 30TH St
Astoria, NY 11102-2261
Phone (718) 721-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02299109 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21435 42nd Ave
Bayside, NY 11361
Phone (718) 352-5582
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bayside, NY
- NPI 1932282324
-
- General Practice Dentistry
- Port Washington, NY
- NPI 1053775551
-
- General Practice Dentistry
- Bayside, NY
- NPI 1457849382
-
- Dentist
- Port Washington, NY
- NPI 1073106985
-
- General Practice Dentistry
- Bayside, NY
- NPI 1790359628
-
- General Practice Dentistry
- Flushing, NY
- NPI 1518653146
-
- General Practice Dentistry
- Port Washington, NY
- NPI 1548946759
-
- General Practice Dentistry
- New York, NY
- NPI 1265773675
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bayside, NY
- NPI 1548619091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1851861264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 30TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022261",
"telephone_number": "718-721-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 30TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022261",
"telephone_number": "718-721-0330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISTA DENTAL CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "KOKOLIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-721-0330",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02299109",
"state": "NY"
}
],
"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 Jun 3, 2021; 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.