Chelsea Pediatric Dentistry Lic

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

055413 Issued in NY

Legal business name

CHELSEA PEDIATRIC DENTISTRY LIC

Practice address

45-45 21St Street
Long Island City, NY 11101-5219

Phone

(718) 752-0001

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Natasha Larson, DMD

Title

President

Phone

(617) 913-8620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1306395223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-45 21ST STREET",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015219",
            "telephone_number": "718-752-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-45 21ST STREET",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015219",
            "telephone_number": "718-752-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA PEDIATRIC DENTISTRY LIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-913-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Anne Charnow, M.D.
• Tiffany Chase, RN
• Emily Jo Chassman, MA
• Azineth Biron Chavez, OTR/L
• Chelsea Express Transportation Inc
• Christine Chen, PA
• David Chen, DDS
• David Chen
• Hsin-Fu Chen
• Junyu Chen, DPT

• Pediatric Dentistry in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.