Unlimited Holdings Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052876 Issued in NY

Legal business name

UNLIMITED HOLDINGS GROUP LLC

Practice address

6107 Utopia Pkwy
2FL
Fresh Meadows, NY 11365-2155

Phone

(718) 886-6843

Fax

(718) 886-6853

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Ahmad Barak

Title

Manager

Phone

(718) 886-6843

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOOTH Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1154610160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 UTOPIA PKWY",
            "address_2": "2FL",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652155",
            "telephone_number": "718-886-6843",
            "fax_number": "718-886-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 UTOPIA PKWY",
            "address_2": "2FL",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652155",
            "telephone_number": "718-886-6843",
            "fax_number": "718-886-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED HOLDINGS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "BARAK",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-886-6843"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03046559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOOTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.