Active NPI
Minda Sabado Carpo, D.D.S.
- Dentist
- Flushing, NY
National Provider Identifier
1184744179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36304
- Practice address
- 4161 Kissena Blvd
Suite #5
Flushing, NY 11355-3105 - Phone
- (718) 886-6666
- NPI assigned
- Mar 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36304 | NY | Primary |
Addresses
Primary practice location
4161 Kissena Blvd
Suite #5
Flushing, NY 11355-3105
Mailing address
1861 Stuyvesant Ave
East Meadow, NY 11554-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00663649 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623002440 | NY | Order and Referring Only - Oral Surgery | 6204147879 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36304 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1184744179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 STUYVESANT AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115543901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 KISSENA BLVD",
"address_2": "SUITE #5",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553105",
"telephone_number": "718-886-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPO",
"first_name": "MINDA",
"middle_name": "SABADO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "36304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00663649",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
- Maria Rose Carlino, AU.D.
- Elizabeth Rachel Carmen, MA, ED.M
- Karlin Darius Carney, LAC
- Caroline Konnoth Physical Therapy P.C.
- Michele Sabado Carpo, D.D.S.
- Natasha Julymarie Carrasquillo Guadalupe, MD
- Araceli C Carrera, NP
- Margarita Carrera, LMSW
- Genoveva Adriana Carrillo-Stern, LCSW
- Elizabeth Theodora Carrion, MSED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.