Active NPI
QDG Dental, PC
Doing business as kids dental care
- Dentist
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054188
- Legal business name
- QDG DENTAL, PC
- Doing business as
- kids dental care
- Practice address
- 13107 40TH Rd
E30
Flushing, NY 11354-5116 - Phone
- (718) 353-3332
- NPI assigned
- Sep 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Qiao Guo, DDS
- Title
- Owner
- Phone
- (646) 248-2946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054188 | NY | Primary |
Addresses
Primary practice location
13107 40TH Rd
E30
Flushing, NY 11354-5116
Mailing address
13107 40TH Rd
E30
Flushing, NY 11354-5116
Phone (718) 353-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03119977 | Medicaid | NY |
Other names 1
- kids dental care
National Provider Directory
National Provider Directory- Tax ID family
- Kids Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
13107 40th Rd
Ste E30
Flushing, NY 11354
Phone (347) 560-3774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Brooklyn, NY
- NPI 1285862805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475020800000",
"number": "1447709761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13107 40TH RD",
"address_2": "E30",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545116",
"telephone_number": "718-353-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13107 40TH RD",
"address_2": "E30",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545116",
"telephone_number": "718-353-3332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QDG DENTAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "QIAO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-248-2946",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "054188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03119977",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "kids dental care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.