NPIMap

Organization Active NPI

Children's Dentistry of Hauppauge, LLP

  • Pediatric Dentistry
  • Hauppauge, NY
National Provider Identifier
1366644718
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
043487 Issued in NY
Legal business name
CHILDREN'S DENTISTRY OF HAUPPAUGE, LLP
Practice address
801 Motor Pkwy
Hauppauge, NY 11788-5256
Phone
(631) 348-1501
Fax
(631) 851-9334
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Claudia A. Mahon-VazquezNPI 1942399894
Title
Owner
Phone
(631) 348-1501

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 043487 NY Primary

Addresses

Primary practice location

801 Motor Pkwy
Hauppauge, NY 11788-5256

Mailing address

801 Motor Pkwy
Hauppauge, NY 11788-5256
Phone (631) 348-1501

National Provider Directory

National Provider Directory

Locations

801 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 348-1501

Practitioners & affiliated clinicians

Practitioners 5

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1366644718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501",
            "fax_number": "631-851-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501",
            "fax_number": "631-851-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF HAUPPAUGE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "MAHON-VAZQUEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-348-1501",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "043487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.