Active NPI
Monique Arraval, DDS
- General Practice Dentistry
- Astoria, NY
National Provider Identifier
1215350335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043622
- Practice address
- 3119 Newtown Ave
Ste. 800
Astoria, NY 11102-1350 - Phone
- (718) 728-8877
- Fax
- (718) 728-6795
- NPI assigned
- Jan 24, 2014
- Last updated
- Jan 24, 2014
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043622 | NY | Primary |
Addresses
Primary practice location
3119 Newtown Ave
Ste. 800
Astoria, NY 11102-1350
Mailing address
3119 Newtown Ave
Ste. 800
Astoria, NY 11102-1350
Phone (718) 728-8877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043622 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Associates PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1215350335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE",
"address_2": "STE. 800",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021350",
"telephone_number": "718-728-8877",
"fax_number": "718-728-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 NEWTOWN AVE",
"address_2": "STE. 800",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111021350",
"telephone_number": "718-728-8877",
"fax_number": "718-728-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRAVAL",
"first_name": "MONIQUE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.