Organization Active NPI

Whitestone Periodontics and Dental Implants PLLC

  • Periodontics
  • Whitestone, NY
National Provider Identifier
1861815730
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
043648 Issued in NY
Legal business name
WHITESTONE PERIODONTICS AND DENTAL IMPLANTS PLLC
Practice address
16032 20TH Ave
Whitestone, NY 11357-3905
Phone
(718) 423-4500
Fax
(718) 423-4268
NPI assigned
Jan 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Anna Dalessandro
Title
Manager
Phone
(718) 423-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 043648 NY Primary

Addresses

Primary practice location

16032 20TH Ave
Whitestone, NY 11357-3905

Mailing address

16032 20TH Ave
Whitestone, NY 11357-3905
Phone (718) 423-4500

National Provider Directory

National Provider Directory

Locations

16032 20th Ave
Whitestone, NY 11357
Phone (718) 423-4500

Practitioners & affiliated clinicians

Practitioners 1

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1861815730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16032 20TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573905",
            "telephone_number": "718-423-4500",
            "fax_number": "718-423-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16032 20TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573905",
            "telephone_number": "718-423-4500",
            "fax_number": "718-423-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE PERIODONTICS AND DENTAL IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DALESSANDRO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-423-4500"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "043648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.