DISTINCTIVE DENTAL SERVICES OF NEW YORK PC
NPI 1205970332
Dentist - Pediatric Dentistry in Great Neck, NY

NPI Status: Active since February 20, 2007

Contact Information

173 E SHORE RD
SUITE 201
GREAT NECK, NY
ZIP 11023
Phone: (516) 487-8110
Fax: (516) 487-8394

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • CLIA Number: 33D2173158
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-06-2025

About DISTINCTIVE DENTAL SERVICES OF NEW YORK PC

This page provides the complete NPI Profile along with additional information for Distinctive Dental Services Of New York Pc, a provider established in Great Neck, New York operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1205970332 assigned on February 2007. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Distinctive Dental Services Of New York Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Ralph Harris Epstein Dds (President)

NPI
1205970332
Provider Name
DISTINCTIVE DENTAL SERVICES OF NEW YORK PC
Entity Type
Organization
Location Address
173 E SHORE RD SUITE 201 GREAT NECK, NY 11023
Location Phone
(516) 487-8110
Location Fax
(516) 487-8394
Mailing Address
173 EAST SHORE RD SUITE 201 GREAT NECK, NY 11023
Mailing Phone
(516) 487-8110
Mailing Fax
(516) 487-8394
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2007
Last Update Date
06-18-2013
Code Navigator

A dentist like Distinctive Dental Services Of New York Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

054882 (NY)
21223D0004XDental Providers

Dentist
Dentist Anesthesiologist

34227 (NY)
31223D0004XDental Providers

Dentist
Dentist Anesthesiologist

054882 (NY)
41223G0001XDental Providers

Dentist
General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RALPH HARRIS EPSTEIN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(516) 487-8110

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2173158
Facility Type
Physician Office
Certificate Effective Date
October 07, 2023
Certificate Expiration Date
October 06, 2025
Laboratory Director
DR. EDWARD EPSTEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Distinctive Dental Services Of New York Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205970332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 7 + 0 + 3 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205970332.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Pediatrics
173 E SHORE RD, 202
GREAT NECK, NY 11023
Dietitian, Registered (Nutrition, Pediatric)
173 E SHORE RD
GREAT NECK, NY 11023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205970332, enumerated as an "organization" on February 20, 2007.

The provider is located at 173 E SHORE RD SUITE 201 GREAT NECK, NY 11023 and the phone number is (516) 487-8110.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.