Organization Active NPI

Wadsworth Family Dentistry, P.C.

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1275790594
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
051417-1 Issued in NY
Legal business name
WADSWORTH FAMILY DENTISTRY, P.C.
Practice address
341A Wadsworth Ave
New York, NY 10040-3143
Phone
(212) 795-4475
Fax
(212) 928-3650
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Ningsheng Ma, D.D.S.
Title
Owner
Phone
(212) 795-4475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 051417-1 NY Primary

Addresses

Primary practice location

341A Wadsworth Ave
New York, NY 10040-3143

Mailing address

341A Wadsworth Ave
New York, NY 10040-3143
Phone (212) 795-4475

Other identifiers 1

IdentifierTypeStateIssuer
02656077MedicaidNY

National Provider Directory

National Provider Directory

Locations

341A Wadsworth Ave
New York, NY 10040
Phone (212) 795-4475

Practitioners & affiliated clinicians

Practitioners 1

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1275790594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341A WADSWORTH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403143",
            "telephone_number": "212-795-4475",
            "fax_number": "212-928-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341A WADSWORTH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403143",
            "telephone_number": "212-795-4475",
            "fax_number": "212-928-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "NINGSHENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-795-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "051417-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656077",
            "state": "NY"
        }
    ],
    "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 May 22, 2008; 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.