Individual provider Active NPI

Inna Svichar, D.D.S.

  • General Practice Dentistry
  • Briarwood, NY
National Provider Identifier
1902975261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048059 Issued in NY
Practice address
8450 Main St
Briarwood, NY 11435-1721
Phone
(718) 441-4020
Fax
(718) 441-8816
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048059 NY Primary

Addresses

Primary practice location

8450 Main St
Briarwood, NY 11435-1721

Mailing address

11220 72ND Dr
Apt.D62
Forest Hills, NY 11375-5661
Phone (718) 793-7499

Other identifiers 1

IdentifierTypeStateIssuer
02062242MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902975261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 72ND DR",
            "address_2": "APT.D62",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755661",
            "telephone_number": "718-793-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 MAIN ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351721",
            "telephone_number": "718-441-4020",
            "fax_number": "718-441-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVICHAR",
        "first_name": "INNA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02062242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.