Organization Active NPI

Love My Smile Dental PC

  • Dental Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1033613112
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
046220-1 Issued in NY
Legal business name
LOVE MY SMILE DENTAL PC
Practice address
9123 Queens Blvd Ste B
Elmhurst, NY 11373-5531
Phone
(718) 205-2055
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Carlos R Acosta
Title
General Dentist
Phone
(718) 205-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 046220-1 NY Primary

Addresses

Primary practice location

9123 Queens Blvd Ste B
Elmhurst, NY 11373-5531

Mailing address

9123 Queens Blvd Ste B
Elmhurst, NY 11373-5531
Phone (718) 205-2055

Other names 1

  • Love My Smile Dental PC Doing business as

National Provider Directory

National Provider Directory

Locations

9123 Queens Blvd
Ste B
Elmhurst, NY 11373
Phone (718) 205-2055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1033613112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 QUEENS BLVD STE B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "718-205-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 QUEENS BLVD STE B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "718-205-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE MY SMILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "718-205-2055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "046220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love My Smile Dental PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Love My Smile Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.