Active NPI
Artur Natanov
- General Practice Dentistry
- South Richmond Hill, NY
National Provider Identifier
1972822567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 055716
- Practice address
- 11901 Liberty Ave
South Richmond Hill, NY 11419 - Phone
- (718) 843-1616
- NPI assigned
- May 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 055716 | NY | Primary |
Addresses
Primary practice location
11901 Liberty Ave
South Richmond Hill, NY 11419
Mailing address
9945 67TH Rd Apt 318
Forest Hills, NY 11375-3047
Other practice location 1
Stony Brook University Hospital
Medical Staff Office T9
Stony Brook, NY 11794-0001
Phone (631) 444-2754
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055716 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concerned Dental Care, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- South Richmond Hill, NY
- NPI 1699818997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1972822567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9945 67TH RD APT 318",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "11419",
"telephone_number": "718-843-1616"
}
],
"practiceLocations": [
{
"address_1": "Stony Brook University Hospital",
"address_2": "MEDICAL STAFF OFFICE T9",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATANOV",
"first_name": "ARTUR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-23",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.