Organization Active NPI

Parul Dua Makkar DDS, PC

  • Dentist
  • S. Richmond Hill, NY
National Provider Identifier
1356613608
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053657 Issued in NY
Legal business name
PARUL DUA MAKKAR DDS, PC
Practice address
121-02 Liberty Avenue
S. Richmond Hill, NY 11419-2112
Phone
(718) 641-1160
Fax
(718) 641-1167
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Parul Dua Makkar, DDSNPI 1649468539
Title
Owner
Phone
(718) 641-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053657 NY Primary

Addresses

Primary practice location

121-02 Liberty Avenue
S. Richmond Hill, NY 11419-2112

Mailing address

121-02 Liberty Avenue
S. Richmond Hill, NY 11419-2112
Phone (718) 641-1160

Other identifiers 1

IdentifierTypeStateIssuer
02966310MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1356613608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121-02 LIBERTY AVENUE",
            "city": "S. RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112",
            "telephone_number": "718-641-1160",
            "fax_number": "718-641-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121-02 LIBERTY AVENUE",
            "city": "S. RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192112",
            "telephone_number": "718-641-1160",
            "fax_number": "718-641-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARUL DUA MAKKAR DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MAKKAR",
        "authorized_official_first_name": "PARUL",
        "authorized_official_middle_name": "DUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-641-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02966310",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S. Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.