John E Chicvak DDS PPLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042819 Issued in NY

Legal business name

JOHN E CHICVAK DDS PPLC

Practice address

1044 Northern Blvd #306
Roslyn, NY 11576

Phone

(576) 466-1177

Fax

(516) 466-0763

NPI assigned

Sep 29, 2006

Last updated

Nov 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John E Chicvak, DDSNPI 1043227838

Title

Owner

Phone

(516) 466-1177

Specialties & licenses 1

Addresses

Other names 1

• Dentistry Done Better Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• John E. Chicvak, DDS

  • General Practice Dentistry
  • Roslyn, NY
  • NPI 1043227838
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1972695823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD #306",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-466-1177",
            "fax_number": "516-466-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD #306",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "576-466-1177",
            "fax_number": "516-466-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E CHICVAK DDS PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "CHICVAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-466-1177",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry Done Better",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Roslyn, NY
• Providers in Roslyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.