Individual provider Active NPI

Miroslava Kautsis, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1952567570
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053992 Issued in NY
Practice address
86 W 183Rd St
Dental Office
Bronx, NY 10453-1212
Phone
(718) 367-4222
Fax
(718) 367-4244
NPI assigned
Aug 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 053992 NY Primary

Addresses

Primary practice location

86 W 183Rd St
Dental Office
Bronx, NY 10453-1212

Mailing address

PO Box 227
Brooklyn, NY 11218-0227
Phone (718) 737-6735

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1952567570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112180227",
            "telephone_number": "718-737-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W 183RD ST",
            "address_2": "DENTAL OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104531212",
            "telephone_number": "718-367-4222",
            "fax_number": "718-367-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTSIS",
        "first_name": "MIROSLAVA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.