Individual provider Active NPI

Laurence Hyacinthe, D.M.D.

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1346438561
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
052837 Issued in NY
Practice address
1845 Adam Clayton Powell Jr Blvd Ste 1
New York, NY 10026-3625
Phone
(347) 292-1757
Fax
(718) 213-4957
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 052837 NY Primary

Addresses

Primary practice location

1845 Adam Clayton Powell Jr Blvd Ste 1
New York, NY 10026-3625

Mailing address

2266 5TH Ave Unit 1695
Dental Department - Station 21
New York, NY 10037-9464
Phone (347) 292-1757

Other identifiers 1

IdentifierTypeStateIssuer
03275569MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
052837NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Bright Pediatric Dentistry P.C. Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1346438561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 5TH AVE UNIT 1695",
            "address_2": "DENTAL DEPARTMENT - STATION 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100379464",
            "telephone_number": "347-292-1757",
            "fax_number": "646-484-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 ADAM CLAYTON POWELL JR BLVD STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263625",
            "telephone_number": "347-292-1757",
            "fax_number": "718-213-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYACINTHE",
        "first_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03275569",
            "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 Jun 13, 2023; 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.