Organization Active NPI

Garden City Plaza Dentistry PC

  • General Practice Dentistry
  • Garden City, NY
National Provider Identifier
1861389090
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARDEN CITY PLAZA DENTISTRY PC
Practice address
200 Garden City PLZ Ste 101
Garden City, NY 11530-3337
Phone
(516) 825-1100
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Kaitlyn Hansen
Title
Revenue Assurance Specialist
Phone
(360) 710-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 Garden City PLZ Ste 101
Garden City, NY 11530-3337

Mailing address

200 Garden City PLZ Ste 101
Garden City, NY 11530-3337
Phone (516) 825-1100

Other names 1

  • Advanced DDS Doing business as

National Provider Directory

National Provider Directory

Locations

200 Garden City Plz
Ste 101
Garden City, NY 11530
Phone (516) 825-1100

Practitioners & affiliated clinicians

Practitioners 2

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": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1861389090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLZ STE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303337",
            "telephone_number": "516-825-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GARDEN CITY PLZ STE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303337",
            "telephone_number": "516-825-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY PLAZA DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "REVENUE ASSURANCE SPECIALIST",
        "authorized_official_telephone_number": "360-710-1851"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.