Organization Active NPI

Tongue-Tie Dental of Ny PLLC

  • Pediatric Dentistry
  • Scarsdale, NY
National Provider Identifier
1255052569
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TONGUE-TIE DENTAL OF NY PLLC
Practice address
774 White Plains Rd # 205
Scarsdale, NY 10583-5030
Phone
(204) 724-7744
Fax
(203) 286-1203
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Jessica Levy, DDSNPI 1528201217
Title
Member
Phone
(917) 841-7780

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

774 White Plains Rd # 205
Scarsdale, NY 10583-5030

Mailing address

7 Darcy LN
Eastchester, NY 10709-1409
Phone (917) 841-7780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1255052569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DARCY LN",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091409",
            "telephone_number": "917-841-7780",
            "fax_number": "203-286-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 WHITE PLAINS RD # 205",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835030",
            "telephone_number": "204-724-7744",
            "fax_number": "203-286-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONGUE-TIE DENTAL OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-841-7780",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.