Empire Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

049413 Issued in NY

Legal business name

EMPIRE DENTAL, P.C.

Practice address

13347 Sanford Ave
#C1B
Flushing, NY 11355-5800

Phone

(718) 888-8828

Fax

(718) 888-8827

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jayson C. Lo, DMD

Title

President

Phone

(917) 498-7152

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jayson Lo, D.M.D. Doing business as

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1346469467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 QUEENS BLVD",
            "address_2": "18J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755566",
            "telephone_number": "718-575-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE",
            "address_2": "#C1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555800",
            "telephone_number": "718-888-8828",
            "fax_number": "718-888-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-498-7152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02427067",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9175708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jayson Lo, D.M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Galal Ashraf Elsayed, MD
• Magdy Elsharouny, D.D.S.
• Ema'S Ambulette, Inc.
• Franklin Osagie Emokpae, OTR/L; RN
• Empire 7 Inc.
• Empire Footcare & Surgery PC
• Empire Physical Therapy, PC
• Empress Dental Service PLLC
• Enabling Therapy
• Marion Aira Castro Encabo, PT

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.