NPIMap

Organization Active NPI

Gary D. Kitzis, DMD PLLC

  • Periodontics
  • Woodbury, NY
National Provider Identifier
1871732461
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
036994-1 Issued in NY
Legal business name
GARY D. KITZIS, DMD PLLC
Practice address
156 Plainview Rd.
Woodbury, NY 11797-2807
Phone
(516) 692-7766
Fax
(631) 692-6129
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Gary D Kitzis, DMDNPI 1609974864
Title
Owner
Phone
(516) 692-7766

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)CodeLicenseStatePrimary
Periodontics 1223P0300X 036994-1 NY Primary

Addresses

Primary practice location

156 Plainview Rd.
Woodbury, NY 11797-2807

Mailing address

156 Plainview Rd.
Woodbury, NY 11797-2807
Phone (516) 692-7766

National Provider Directory

National Provider Directory

Locations

156 Plainview Rd
Woodbury, NY 11797
Phone (516) 692-7766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1871732461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 PLAINVIEW RD.",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972807",
            "telephone_number": "516-692-7766",
            "fax_number": "631-692-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 PLAINVIEW RD.",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972807",
            "telephone_number": "516-692-7766",
            "fax_number": "631-692-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. KITZIS, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "KITZIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-692-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "036994-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.