Organization Active NPI

QLG Dental, PC

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1205197142
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0541881 Issued in NY
Legal business name
QLG DENTAL, PC
Practice address
5906 7TH Ave
Brooklyn, NY 11220-4121
Phone
(646) 248-2946
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Qiao Ling Guo, DDS
Title
President
Phone
(646) 248-2946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 0541881 NY Primary

Addresses

Primary practice location

5906 7TH Ave
Brooklyn, NY 11220-4121

Mailing address

8420 51St Ave
2F
Elmhurst, NY 11373-5808
Phone (646) 248-2946

National Provider Directory

National Provider Directory

Locations

5906 7th Ave
Brooklyn, NY 11220
Phone (646) 248-2946

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1205197142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 51ST AVE",
            "address_2": "2F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735808",
            "telephone_number": "646-248-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204121",
            "telephone_number": "646-248-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLG DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "QIAO",
        "authorized_official_middle_name": "LING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-248-2946",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "0541881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.