Active NPI
Dental Arts at Lexington & 63Rd St PC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1215028428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0432701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charito Dela Cruz Morada, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1154625192
-
- General Practice Dentistry
- New York, NY
- NPI 1528362563
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.