Organization Active NPI

David Gottesfeld, DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merrick, NY
National Provider Identifier
1932438926
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
27531 Issued in NY
Legal business name
DAVID GOTTESFELD, DDS PC
Practice address
1757 Merrick Ave
Suite 101
Merrick, NY 11566-2717
Phone
(516) 623-1617
Fax
(516) 623-7825
NPI assigned
Dec 22, 2009
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. David Gottesfeld, DDS MSDNPI 1881862282
Title
President
Phone
(516) 623-1617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 27531 NY Primary

Addresses

Primary practice location

1757 Merrick Ave
Suite 101
Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave
Suite 101
Merrick, NY 11566-2717

National Provider Directory

National Provider Directory

Locations

1757 Merrick Ave
Ste 101
Merrick, NY 11566
Phone (516) 623-1617

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": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1932438926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE",
            "address_2": "SUITE 101",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE",
            "address_2": "SUITE 101",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-623-1617",
            "fax_number": "516-623-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GOTTESFELD, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "GOTTESFELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-623-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "27531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.