Organization Active NPI

Zac Dental PC

  • Dentist
  • Garden City, NY
National Provider Identifier
1861894677
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050450 Issued in NY
Legal business name
ZAC DENTAL PC
Practice address
601 Franklin Ave
Suite 212
Garden City, NY 11530-5795
Phone
(516) 280-2618
Fax
(516) 280-2619
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Yu-Chien Esther Chang, DDS
Title
President
Phone
(516) 280-2618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 050450 NY Primary

Addresses

Primary practice location

601 Franklin Ave
Suite 212
Garden City, NY 11530-5795

Mailing address

601 Franklin Ave
Suite 212
Garden City, NY 11530-5795
Phone (516) 280-2618

National Provider Directory

National Provider Directory

Locations

601 Franklin Ave
Ste 212
Garden City, NY 11530
Phone (516) 280-2618

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1861894677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE",
            "address_2": "SUITE 212",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305795",
            "telephone_number": "516-280-2618",
            "fax_number": "516-280-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE",
            "address_2": "SUITE 212",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305795",
            "telephone_number": "516-280-2618",
            "fax_number": "516-280-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YU-CHIEN",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-280-2618",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 24, 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.