Huerta Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HUERTA DENTISTRY, PC

Doing business as

the dental boutique

Practice address

151 W 30TH St
Suite 602
New York, NY 10001-4007

Phone

(646) 649-3116

NPI assigned

Sep 23, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos J. Huerta, DMDNPI 1881780997

Title

President/Owner

Phone

(646) 649-3116

Specialties & licenses 1

Addresses

Other names 1

• the dental boutique Doing business as

Locations

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.

• Carlos J Huerta, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1881780997
  NPD (past) Authorized official

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1295161164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 13TH ST",
            "address_2": "8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093579",
            "telephone_number": "267-972-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 30TH ST",
            "address_2": "SUITE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014007",
            "telephone_number": "646-649-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUERTA DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "646-649-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the dental boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Hudson, MD
• Tanay Elyse Hudson, LCSW
• Christopher Donald Hue, MD, MS, MPHIL, PHD
• Jennifer Eileen Hue, O.D.
• Derek Terrell Huell, MD
• Alicia Rita Huerta
• Carlos J Huerta, DMD
• Jasmine Huerta
• Jaime Antonio Huertas Toledo, MD
• Alexa Michelle Huertas

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.