Organization Active NPI

Exquisite Dental Care, PLLC

  • General Practice Dentistry
  • Little Neck, NY
National Provider Identifier
1407133523
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053888 Issued in NY
Legal business name
EXQUISITE DENTAL CARE, PLLC
Practice address
4522 Little Neck Pkwy
Suite #2
Little Neck, NY 11362-1456
Phone
(718) 229-9100
Fax
(718) 229-9109
NPI assigned
Nov 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Michael C Lin, D.D.S.NPI 1750586640
Title
Owner
Phone
(718) 229-9100

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 053888 NY Primary

Addresses

Primary practice location

4522 Little Neck Pkwy
Suite #2
Little Neck, NY 11362-1456

Mailing address

4522 Little Neck Pkwy
Suite #2
Little Neck, NY 11362-1456
Phone (718) 229-9100

Other identifiers 1

IdentifierTypeStateIssuer
03102967MedicaidNY

National Provider Directory

National Provider Directory

Locations

4522 Little Neck Pkwy
Ste 2
Little Neck, NY 11362
Phone (718) 229-9100

Practitioners & affiliated clinicians

Practitioners 1

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": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1407133523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 LITTLE NECK PKWY",
            "address_2": "SUITE #2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621456",
            "telephone_number": "718-229-9100",
            "fax_number": "718-229-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 LITTLE NECK PKWY",
            "address_2": "SUITE #2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621456",
            "telephone_number": "718-229-9100",
            "fax_number": "718-229-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-229-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03102967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.