Organization Active NPI

Anne Chan-Ly, DDS, PLLC

  • Dental Clinic/Center
  • Bayside, NY
National Provider Identifier
1124448121
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
053963-1 Issued in NY
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, DDSNPI 1417153370
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.

National Provider Directory

National Provider Directory

Locations

136 Bowery
Ste 203
New York, NY 10013

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 053963-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.