Individual provider Active NPI

Robert J. Lopatkin, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Astoria, NY
National Provider Identifier
1952462889
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
39158-1 Issued in NY
Practice address
23-12 31 Street
Astoria, NY 11105
Phone
(718) 278-0358
Fax
(718) 278-2908
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39158-1 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 39158-1 NY Primary

Addresses

Primary practice location

23-12 31 Street
Astoria, NY 11105

Mailing address

23-12 31 Street
Astoria, NY 11105
Phone (718) 278-0358

Other identifiers 1

IdentifierTypeStateIssuer
01069685MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001910 NY Order and Referring Only - DentistPractitioner - Dentist 3779873450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39158-1NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Lopatkin DDS PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
All Smiles Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics PastSince Oct 11, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1952462889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-12 31 STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-278-0358",
            "fax_number": "718-278-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-12 31 STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-278-0358",
            "fax_number": "718-278-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPATKIN",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "39158-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "39158-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.