Organization Active NPI

Harlem Family Dental Plaza

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1144650763
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056571 Issued in NY
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03643565MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.