Active NPI
Daniel Barayev, DDS
- Dentist
- Fresh Meadows, NY
National Provider Identifier
1881071603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058660
- Practice address
- 18506 69TH Ave
Fresh Meadows, NY 11365-3504 - Phone
- (718) 480-1991
- NPI assigned
- Apr 30, 2015
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02640000 | NJ | |
| Dentist | 122300000X | 058660 | NY | Primary |
Addresses
Primary practice location
18506 69TH Ave
Fresh Meadows, NY 11365-3504
Mailing address
18506 69TH Ave
Fresh Meadows, NY 11365-3504
Phone (718) 480-1991
Other practice location 1
8246 Lefferts Blvd Apt 5H
Kew Gardens, NY 11415-1330
Phone (718) 847-8269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04519908 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02640000 | NJ | MD | Dentist |
| 058660 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Barayev, DDS P.C. | Current | Accepting new patients |
Locations
8059 Lefferts Blvd
Ste A
Kew Gardens, NY 11415
Phone (347) 475-0003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kew Gardens Smiles Dental
- General Practice Dentistry
- Kew Gardens, NY
- NPI 1285328641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881071603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18506 69TH AVE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653504",
"telephone_number": "718-480-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18506 69TH AVE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653504",
"telephone_number": "718-480-1991"
}
],
"practiceLocations": [
{
"address_1": "8246 Lefferts Blvd Apt 5H",
"address_purpose": "LOCATION",
"city": "Kew Gardens",
"state": "NY",
"postal_code": "114151330",
"country_code": "US",
"telephone_number": "718-847-8269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARAYEV",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02640000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04519908",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.