Organization Active NPI

Officina Dental of Betty Rondon

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1003077918
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
042614 Issued in NY
Legal business name
OFFICINA DENTAL OF BETTY RONDON
Practice address
39 Sickles St # 1G
New York, NY 10040-1615
Phone
(212) 304-7986
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Betty M Rondon, DDS
Title
Manager
Phone
(212) 304-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 042614 NY Primary

Addresses

Primary practice location

39 Sickles St # 1G
New York, NY 10040-1615

Mailing address

39 Sickles St # 1G
New York, NY 10040-1615
Phone (212) 304-7986

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1003077918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SICKLES ST # 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401615",
            "telephone_number": "212-304-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SICKLES ST # 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401615",
            "telephone_number": "212-304-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICINA DENTAL OF BETTY RONDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "RONDON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-304-7986",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "042614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.