Organization Active NPI

Rockaway Dental Associates, PC

  • Dental Clinic/Center
  • South Ozone Park, NY
National Provider Identifier
1902125495
Registry record updated May 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROCKAWAY DENTAL ASSOCIATES, PC
Practice address
13111 Rockaway Blvd
South Ozone Park, NY 11420-2931
Phone
(718) 322-9607
NPI assigned
May 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2010

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

Authorized official

Name
Dr. Thomas Behm, DDS
Title
Dentist
Phone
(718) 322-9607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13111 Rockaway Blvd
South Ozone Park, NY 11420-2931

Mailing address

1040 1St Ave
#393
New York, NY 10022-2991
Phone (718) 322-9607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274572800000",
    "number": "1902125495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 1ST AVE",
            "address_2": "#393",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222991",
            "telephone_number": "718-322-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202931",
            "telephone_number": "718-322-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKAWAY DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-23",
        "last_updated": "2010-05-23",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-322-9607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2010; 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.