Sunnyside Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0533131-8 Issued in NY

Legal business name

SUNNYSIDE ORTHODONTICS

Practice address

4312 43Rd St
Sunnyside, NY 11104-2608

Phone

(718) 433-2304

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jasmine Christine Lee

Title

Manager

Phone

(718) 433-2304

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1336487750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 43RD ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042608",
            "telephone_number": "718-433-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 43RD ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042608",
            "telephone_number": "718-433-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-433-2304",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0533131-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02860204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunnyside Dental, PC
• Sunnyside Medical Office PC
• Sunnyside Medical PC
• Sunnyside Medical Practice PC
• Sunnyside Optometry P.C.
• Sunnyside Pediatric Endocrinology, PC
• Survival Kids
• Stephanie Tan
• Sheri Taylor, OTR
• Sepideh Toloue, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.