Active NPI
Anne Chan-Ly, DDS, PLLC
- Dental Clinic/Center
- Bayside, NY
National Provider Identifier
1124448121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 053963-1
- Legal business name
- ANNE CHAN-LY, DDS, PLLC
- Practice address
- 208-54 Cross Island Parkway
Bayside, NY 11360 - Phone
- (718) 631-0508
- NPI assigned
- Apr 17, 2014
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Anne Chan-Ly, DDS
- Title
- Owner
- Phone
- (917) 751-4590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rye, NY
- NPI 1417153370
National Provider Directory
National Provider DirectoryLocations
136 Bowery
Ste 203
New York, NY 10013
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 053963-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
208-54 Cross Island Parkway
Bayside, NY 11360
Mailing address
136 Bowery Ste 203
New York, NY 10013-4290
Phone (917) 751-4590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2014.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1124448121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 BOWERY STE 203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134290",
"telephone_number": "917-751-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208-54 CROSS ISLAND PARKWAY",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11360",
"telephone_number": "718-631-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNE CHAN-LY, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "CHAN-LY",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-751-4590",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "053963-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.