Organization Active NPI

Carlos M. Ovalle D.D.S.P.C

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1306019088
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 2, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.