Organization Active NPI

Family Dentistry of Elmhurst

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1407121692
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045091 Issued in NY
Legal business name
FAMILY DENTISTRY OF ELMHURST
Practice address
4005 81St St
Elmhurst, NY 11373-1302
Phone
(718) 533-7333
Fax
(718) 533-7653
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Luz Arelis Filion, DDS
Title
Owner
Phone
(718) 533-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045091 NY Primary

Addresses

Primary practice location

4005 81St St
Elmhurst, NY 11373-1302

Mailing address

4005 81St St
Elmhurst, NY 11373-1302
Phone (718) 533-7333

Other identifiers 1

IdentifierTypeStateIssuer
01471503MedicaidNY

National Provider Directory

National Provider Directory

Locations

4005 81st St
Elmhurst, NY 11373
Phone (718) 533-7333

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1407121692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 81ST ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731302",
            "telephone_number": "718-533-7333",
            "fax_number": "718-533-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 81ST ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731302",
            "telephone_number": "718-533-7333",
            "fax_number": "718-533-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF ELMHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "FILION",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "ARELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-533-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01471503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.