NPIMap

Organization Active NPI

Stars Dental

  • Dentist
  • New York, NY
National Provider Identifier
1316953045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047068 Issued in NY
Legal business name
STARS DENTAL
Practice address
52 E Broadway # 6/FL
New York, NY 10002-6868
Phone
(212) 274-8658
NPI assigned
Aug 1, 2006
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
Angela Lo
Title
Dentist
Phone
(212) 274-8658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047068 NY Primary

Addresses

Primary practice location

52 E Broadway # 6/FL
New York, NY 10002-6868

Mailing address

52 E Broadway # 6/FL
New York, NY 10002-6868
Phone (212) 274-8658

Other identifiers 1

IdentifierTypeStateIssuer
0750239MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Stars Dental8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

52 E Broadway
Fl 6
New York, NY 10002
Phone (212) 274-8658

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316953045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E BROADWAY # 6/FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026868",
            "telephone_number": "212-274-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E BROADWAY # 6/FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100026868",
            "telephone_number": "212-274-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "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": "212-274-8658"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0750239",
            "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.