Active NPI
Ted Tatsushi Uotani, DMD
- Pediatric Dentistry
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 061282
- Practice address
- 506 Lenox Ave
New York, NY 10037-1889 - Phone
- (212) 939-2848
- NPI assigned
- Feb 28, 2019
- Last updated
- Jan 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 061282 | NY | Primary |
Addresses
Primary practice location
506 Lenox Ave
New York, NY 10037-1889
Mailing address
227 E 86TH St Apt 3C
New York, NY 10028-3114
Phone (832) 212-6155
Other practice location 1
2155 86th St
Brooklyn, NY 11214-3205
Phone (718) 509-4888
Other practice location 2
6321 18th Ave
Brooklyn, NY 11204-2941
Phone (718) 397-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061282 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Associates PC | Current | Accepting new patients | |
| 86 Street Dental PC | Pediatric Dentistry | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Interoperability endpoints
- tuotani4022245@nychhc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Pediatric Dentistry
- Brooklyn, NY
- NPI 1093586638
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1336606144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 E 86TH ST APT 3C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283114",
"telephone_number": "832-212-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LENOX AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371889",
"telephone_number": "212-939-2848"
}
],
"practiceLocations": [
{
"address_1": "2155 86th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112143205",
"country_code": "US",
"telephone_number": "718-509-4888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6321 18th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112042941",
"country_code": "US",
"telephone_number": "718-397-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UOTANI",
"first_name": "TED",
"middle_name": "TATSUSHI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "061282",
"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 Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.