NPIMap

Organization Active NPI

Ac Dental PLLC.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1285841304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047068 Issued in NY
Legal business name
AC DENTAL PLLC.
Practice address
271 Grand St FL 2F
New York, NY 10002-4464
Phone
(646) 247-7367
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Angela Lo, DDS
Title
Dentist
Phone
(646) 247-7367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047068 NY Primary

Addresses

Primary practice location

271 Grand St FL 2F
New York, NY 10002-4464

Mailing address

271 Grand St FL 2F
New York, NY 10002-4464
Phone (646) 247-7367

Other identifiers 1

IdentifierTypeStateIssuer
01751239MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ac Dental PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285841304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GRAND ST FL 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024464",
            "telephone_number": "646-247-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GRAND ST FL 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024464",
            "telephone_number": "646-247-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC DENTAL PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-247-7367",
        "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": "047068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01751239",
            "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 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.

Verify at the official NPI Registry.