Lori a Matturro, DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

License

048688 Issued in NY

Legal business name

LORI A MATTURRO, DDS,PC

Practice address

6084 71St St
Maspeth, NY 11378-2914

Phone

(718) 803-3020

Fax

(718) 803-2744

NPI assigned

Aug 22, 2013

Last updated

Aug 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Ann Matturro, DDSNPI 1932526662

Title

Owner President

Phone

(718) 446-3686

Specialties & licenses 1

Addresses

Locations

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.

• Lori Matturro, DDS

  • Dentist
  • Maspeth, NY
  • NPI 1932526662
  NPD (past) Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1174957492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 48TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775907",
            "telephone_number": "718-446-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 71ST ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782914",
            "telephone_number": "718-803-3020",
            "fax_number": "718-803-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A MATTURRO, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTURRO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "718-446-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.