Organization Active NPI

L B Dental P. C.

  • Dental Clinic/Center
  • Port Chester, NY
National Provider Identifier
1154765337
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
L B DENTAL P. C.
Practice address
220 Westchester Ave
1St Floor
Port Chester, NY 10573-4557
Phone
(914) 935-0588
Fax
(914) 935-0445
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Dr. Luis A. Blanco, DDS
Title
Owner
Phone
(914) 935-0588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

220 Westchester Ave
1St Floor
Port Chester, NY 10573-4557

Mailing address

220 Westchester Ave
1St Floor
Port Chester, NY 10573-4557
Phone (914) 935-0588

National Provider Directory

National Provider Directory

Locations

220 Westchester Ave
Ste 1
Port Chester, NY 10573
Phone (914) 935-0588

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1154765337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WESTCHESTER AVE",
            "address_2": "1ST FLOOR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734557",
            "telephone_number": "914-935-0588",
            "fax_number": "914-935-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WESTCHESTER AVE",
            "address_2": "1ST FLOOR",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734557",
            "telephone_number": "914-935-0588",
            "fax_number": "914-935-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L B DENTAL P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-935-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

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