Corona Dental Office, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0484861 Issued in NY

Legal business name

CORONA DENTAL OFFICE, PC

Practice address

10807 Corona Ave
2 Floor
Corona, NY 11368-3941

Phone

(718) 760-3417

Fax

(718) 760-3417

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wascar Alexi Ramirez I, D.D.S.

Title

Owner

Phone

(718) 760-3417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1063797009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 CORONA AVE",
            "address_2": "2 FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683941",
            "telephone_number": "718-760-3417",
            "fax_number": "718-760-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 CORONA AVE",
            "address_2": "2 FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683941",
            "telephone_number": "718-760-3417",
            "fax_number": "718-760-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA DENTAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "WASCAR",
        "authorized_official_middle_name": "ALEXI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-760-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0484861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corona Adult Social Day Care Center LLC
• Corona Chiropractic Health Services P.C.
• Corona Community Ambulance Corps, Inc.
• Corona Community Senior Center Inc.
• Corona Comprehensive Medical Care, P.C.
• Corona Family Chiropractic Care, PC
• Corona Family Dental Assoc PC
• Corona Family Dental P.C.
• Corona Family Health Center
• Corona Global LLC

• General Practice Dentistry in Corona, NY
• Providers in Corona, 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 Oct 20, 2011; 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.