Organization Active NPI

Accufast Dental, PC

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1912996307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047988 Issued in NY
Legal business name
ACCUFAST DENTAL, PC
Practice address
3719 Main St
Suite 2a
Flushing, NY 11354-4106
Phone
(718) 359-5675
Fax
(718) 359-5774
NPI assigned
Oct 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alex Chen, DDSNPI 1598889826
Title
President
Phone
(718) 359-5675

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
General Practice Dentistry 1223G0001X 047988 NY Primary

Addresses

Primary practice location

3719 Main St
Suite 2a
Flushing, NY 11354-4106

Mailing address

3719 Main St
Suite 2a
Flushing, NY 11354-4106
Phone (718) 359-5675

Other identifiers 1

IdentifierTypeStateIssuer
01977224MedicaidNY

National Provider Directory

National Provider Directory

Locations

3719 Main St
Ste 2A
Flushing, NY 11354
Phone (718) 359-5675

Practitioners & affiliated clinicians

Practitioners 1

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": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912996307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544106",
            "telephone_number": "718-359-5675",
            "fax_number": "718-359-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544106",
            "telephone_number": "718-359-5675",
            "fax_number": "718-359-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUFAST DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-359-5675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01977224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.