Angeles & Morales D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047307 Issued in NY

Legal business name

ANGELES & MORALES D.D.S.,P.C.

Practice address

12511 111TH Ave
South Ozone Park, NY 11420-1509

Phone

(718) 845-6223

Fax

(718) 738-1744

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Jose Angeles, D.D.S.

Title

Dentist

Phone

(718) 471-5543

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457576795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201509",
            "telephone_number": "718-845-6223",
            "fax_number": "718-738-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 111TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201509",
            "telephone_number": "718-845-6223",
            "fax_number": "718-738-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELES & MORALES D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-471-5543",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047628",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975680",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02207445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muntasir Amile
• Mosammat S Amin
• Aminah Corp
• Tonya Tanee Anderson
• Amanda Angad, BCBA
• Natalie Arduini, LMSW
• Sundus Arif-Umer
• Carrol Armstrong
• Rafiatulahi Arogundade
• Tysheka L Ashe, LPN

• General Practice Dentistry in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.