Organization Active NPI

East Village Dental Arts

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1033793997
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EAST VILLAGE DENTAL ARTS
Practice address
645 E 11TH St Apt 1F
New York, NY 10009-4134
Phone
(212) 979-6300
Fax
(212) 202-4173
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Miss Anette Lopez
Title
Office Manager
Phone
(212) 979-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

645 E 11TH St Apt 1F
New York, NY 10009-4134

Mailing address

645 E 11TH St Apt 1F
New York, NY 10009-4134
Phone (212) 979-6300

National Provider Directory

National Provider Directory

Locations

645 E 11th St
Apt 1F
New York, NY 10009
Phone (212) 598-4300

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1033793997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E 11TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094134",
            "telephone_number": "212-979-6300",
            "fax_number": "212-202-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E 11TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094134",
            "telephone_number": "212-979-6300",
            "fax_number": "212-202-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VILLAGE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-979-6300",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 May 7, 2021; 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.