Active NPI
Carlos M. Ovalle D.D.S.P.C
- General Practice Dentistry
- New York, NY
National Provider Identifier
1306019088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CARLOS M. OVALLE D.D.S.P.C
- Practice address
- 201 Wadsworth Ave Apt 2
New York, NY 10033-3862 - Phone
- (212) 927-1721
- Fax
- (212) 781-9600
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carlos Manuel Ovalle, D.D.S
- Title
- Dentist
- Phone
- (212) 927-1721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
201 Wadsworth Ave Apt 2
New York, NY 10033-3862
Mailing address
201 Wadsworth Ave Apt 2
New York, NY 10033-3862
Phone (212) 927-1721
National Provider Directory
National Provider DirectoryLocations
201 Wadsworth Ave
Apt 2
New York, NY 10033
Phone (212) 927-1721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1306019088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 WADSWORTH AVE APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333862",
"telephone_number": "212-927-1721",
"fax_number": "212-781-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WADSWORTH AVE APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333862",
"telephone_number": "212-927-1721",
"fax_number": "212-781-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS M. OVALLE D.D.S.P.C",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "OVALLE",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "212-927-1721",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 2, 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.