Tula Theodosiou, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043045 Issued in NY

Practice address

3304 91St St
Suite #1W
Jackson Heights, NY 11372-1752

Phone

(718) 899-4455

Fax

(718) 899-4455

NPI assigned

Oct 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theodosiou & Rosenbaum General Dentistry

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1689848921
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033108543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 91ST ST",
            "address_2": "SUITE #1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721752",
            "telephone_number": "718-899-4455",
            "fax_number": "718-899-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 91ST ST",
            "address_2": "SUITE #1W",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721752",
            "telephone_number": "718-899-4455",
            "fax_number": "718-899-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOSIOU",
        "first_name": "TULA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasad Varghese Thaivalappil
• Gabrielle J Thaler, LMSW
• Parbati Thapa
• The Trump Pharmacy Inc. (Colombia Pharmacy)
• Theodosiou & Rosenbaum General Dentistry
• Therapeutic Clinic (Self-employment)
• Think Speech PLLC
• Thomas Izquierdo Physician P.C.
• Johnny Thomas, DO
• Three JS Pharmacy Inc

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.