NPIMap

Organization Active NPI

Centro Dental Familiar P.C

  • Dentist
  • Jackson HTS, NY
National Provider Identifier
1124018700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045091 Issued in NY
Legal business name
CENTRO DENTAL FAMILIAR P.C
Practice address
3742 90TH St
First Floorr
Jackson HTS, NY 11372-7830
Phone
(718) 424-5559
Fax
(718) 426-2484
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luz A Filion, DDSNPI 1548259120
Title
Owner
Phone
(718) 533-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 045091 NY Primary

Addresses

Primary practice location

3742 90TH St
First Floorr
Jackson HTS, NY 11372-7830

Mailing address

3742 90TH St
First Floorr
Jackson HTS, NY 11372-7830
Phone (718) 424-5559

Other identifiers 1

IdentifierTypeStateIssuer
01471503MedicaidNY

Other names 1

  • Centro Dental Familiar Doing business as

National Provider Directory

National Provider Directory

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124018700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 90TH ST",
            "address_2": "FIRST FLOORR",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113727830",
            "telephone_number": "718-424-5559",
            "fax_number": "718-426-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 90TH ST",
            "address_2": "FIRST FLOORR",
            "city": "JACKSON HTS",
            "state": "NY",
            "postal_code": "113727830",
            "telephone_number": "718-424-5559",
            "fax_number": "718-426-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DENTAL FAMILIAR P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILION",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-533-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01471503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Dental Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson HTS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.