Organization Active NPI

Dental Arts at Lexington & 63Rd St PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1215028428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0432701 Issued in NY
Legal business name
DENTAL ARTS AT LEXINGTON & 63RD ST PC
Practice address
105 E 63Rd St
Suite 1a-1B
New York, NY 10021-7329
Phone
(212) 581-3030
Fax
(212) 207-8521
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charito Dela Cruz Morada, DDSNPI 1154625192
Title
Office Manager
Phone
(212) 581-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0432701 NY Primary

Addresses

Primary practice location

105 E 63Rd St
Suite 1a-1B
New York, NY 10021-7329

Mailing address

105 E 63Rd St
Suite 1a-1B
New York, NY 10021-7329
Phone (212) 581-3030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215028428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 63RD ST",
            "address_2": "SUITE 1A-1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217329",
            "telephone_number": "212-581-3030",
            "fax_number": "212-207-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 63RD ST",
            "address_2": "SUITE 1A-1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217329",
            "telephone_number": "212-581-3030",
            "fax_number": "212-207-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS AT LEXINGTON & 63RD ST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORADA",
        "authorized_official_first_name": "CHARITO",
        "authorized_official_middle_name": "DELA CRUZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-581-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0432701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.