Central Park Dental Spa

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

044489 Issued in NY

Legal business name

CENTRAL PARK DENTAL SPA

Practice address

30 Central Park S
7A
New York, NY 10019-1628

Phone

(212) 753-1119

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Eda Ellis, DDS

Title

Dentist

Phone

(212) 753-1119

Specialties & licenses 1

Addresses

Tax ID family

Central Park Dental Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Eda Ellis Dental PC

  • Dentist
  • New York, NY
  • NPI 1427582147
  NPD tax ID

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1184079477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S",
            "address_2": "7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "212-753-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S",
            "address_2": "7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191628",
            "telephone_number": "212-753-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "EDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-753-1119",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "044489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central New York Medicine PC
• Central Oaks Medical Associates, PC
• Central Park Aesthetic Surgery
• Central Park Ambulatory Care, PLLC
• Central Park Dental Associates PLLC
• Central Park Dentistry Pediatric Dental Care
• Central Park Dentistry, PC
• Central Park Dermatology, P.C.
• Central Park Diagnostic, Inc
• Central Park East Office Based Surgery, P.C.

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.