NPIMap

Organization Active NPI

Family Dentist of Great Neck

Doing business as Preferred Dental Care - Great Neck

  • Public Health Dentistry
  • Great Neck, NY
National Provider Identifier
1992587505
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
FAMILY DENTIST OF GREAT NECK
Doing business as
Preferred Dental Care - Great Neck
Practice address
17 Maple Dr
Great Neck, NY 11021-2049
Phone
(516) 482-2215
NPI assigned
Oct 18, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Bibi Abrahim
Title
Finance Manager
Phone
(718) 445-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

17 Maple Dr
Great Neck, NY 11021-2049

Mailing address

17 Maple Dr
Great Neck, NY 11021-2049

Other names 1

  • Preferred Dental Care - Great Neck Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1992587505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212049",
            "telephone_number": "516-482-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTIST OF GREAT NECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "ABRAHIM",
        "authorized_official_first_name": "BIBI",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "718-445-7600"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Dental Care - Great Neck",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Dental Care - Great Neck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.