Organization Active NPI

Sparkling Pearls Pediatric Dentistry

  • Pediatric Dentistry
  • Port Washington, NY
National Provider Identifier
1144977760
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SPARKLING PEARLS PEDIATRIC DENTISTRY
Practice address
164 Main St
Port Washington, NY 11050-3212
Phone
(917) 292-0361
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dr. Thalia Sing, DMDNPI 1568770527
Title
Partner/Owner
Phone
(917) 292-0361

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

164 Main St
Port Washington, NY 11050-3212

Mailing address

164 Main St
Port Washington, NY 11050-3212
Phone (917) 292-0361

National Provider Directory

National Provider Directory

Locations

164 Main St
Port Washington, NY 11050
Phone (917) 292-0361

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1144977760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503212",
            "telephone_number": "917-292-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503212",
            "telephone_number": "917-292-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING PEARLS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "SING",
        "authorized_official_first_name": "THALIA",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "917-292-0361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.