NPIMap

Organization Active NPI

Wanho Lew DDS PLLC

Doing business as Line Dental

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1215623277
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WANHO LEW DDS PLLC
Doing business as
Line Dental
Practice address
510 E 80TH St Ofc 2
New York, NY 10075-0719
Phone
(646) 536-5088
Fax
(646) 536-5077
NPI assigned
Apr 13, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Wanho Lew, DDSNPI 1972156727
Title
Owner
Phone
(646) 536-5088

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

510 E 80TH St Ofc 2
New York, NY 10075-0719

Mailing address

510 E 80TH St Ofc 2
New York, NY 10075-0719
Phone (646) 536-5088

Other names 1

  • Line Dental Doing business as

National Provider Directory

National Provider Directory

Locations

510 E 80th St
Ofc 2
New York, NY 10075
Phone (646) 536-5088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1215623277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 80TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750719",
            "telephone_number": "646-536-5088",
            "fax_number": "646-536-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 80TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750719",
            "telephone_number": "646-536-5088",
            "fax_number": "646-536-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANHO LEW DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "WANHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-536-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Line Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Line Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 31, 2023; 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.