Active NPI
Harlem Family Dental Plaza
- General Practice Dentistry
- New York, NY
National Provider Identifier
1144650763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 056571
- Legal business name
- HARLEM FAMILY DENTAL PLAZA
- Practice address
- 1916 3Rd Ave
New York, NY 10029-4663 - Phone
- (212) 348-1177
- NPI assigned
- Nov 18, 2013
- Last updated
- Nov 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maria Tanchuling
- Title
- Owner/DDS
- Phone
- (212) 348-1177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056571 | NY | Primary |
Addresses
Primary practice location
1916 3Rd Ave
New York, NY 10029-4663
Mailing address
1916 3Rd Ave
New York, NY 10029
Phone (212) 348-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03643565 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1916 3rd Ave
New York, NY 10029
Phone (212) 348-1177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- New York, NY
- NPI 1346443934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384732800000",
"number": "1144650763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-348-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294663",
"telephone_number": "212-348-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLEM FAMILY DENTAL PLAZA",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A",
"authorized_official_last_name": "TANCHULING",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER/DDS",
"authorized_official_telephone_number": "212-348-1177",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "056571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03643565",
"state": "NY"
}
],
"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 Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.