Organization Active NPI

Queens Family Dental

  • General Practice Dentistry
  • Astoria, NY
National Provider Identifier
1871743757
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37540 Issued in NY
Legal business name
QUEENS FAMILY DENTAL
Practice address
2602 Ditmars Blvd
Astoria, NY 11105-3123
Phone
(718) 278-5700
Fax
(718) 278-5794
NPI assigned
Sep 26, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEENS FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. William George Eliades, DDS
Title
Dentist Owner
Phone
(718) 278-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37540 NY Primary

Addresses

Primary practice location

2602 Ditmars Blvd
Astoria, NY 11105-3123

Mailing address

2602 Ditmars Blvd
Astoria, NY 11105-3123
Phone (718) 278-5700

National Provider Directory

National Provider Directory
Tax ID family
Queens Family Dental2 organizations share this tax ID, including this one
Part of
Queens Family Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2602 Ditmars Blvd
Astoria, NY 11105
Phone (718) 278-5700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1871743757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053123",
            "telephone_number": "718-278-5700",
            "fax_number": "718-278-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053123",
            "telephone_number": "718-278-5700",
            "fax_number": "718-278-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEENS FAMILY DENTAL",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "ELIADES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "718-278-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.