Organization Active NPI

Richmond Hill Dental Ass LLP

  • Dentist
  • Richmond Hill, NY
National Provider Identifier
1871574384
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044929 Issued in NY
Legal business name
RICHMOND HILL DENTAL ASS LLP
Practice address
11311 Jamaica Ave
Richmond Hill, NY 11418-2441
Phone
(718) 846-6000
Fax
(718) 846-6008
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Dr. Lewis R Brestin, DDS
Title
Owner
Phone
(718) 846-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 044929 NY Primary

Addresses

Primary practice location

11311 Jamaica Ave
Richmond Hill, NY 11418-2441

Mailing address

11311 Jamaica Ave
Richmond Hill, NY 11418-2441
Phone (718) 846-6000

Other identifiers 1

IdentifierTypeStateIssuer
02247809MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1871574384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182441",
            "telephone_number": "718-846-6000",
            "fax_number": "718-846-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182441",
            "telephone_number": "718-846-6000",
            "fax_number": "718-846-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND HILL DENTAL ASS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "BRESTIN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-846-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.