Organization Active NPI

Tsomo Dental PC

  • Dental Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1467959577
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
055162 Issued in NY
Legal business name
TSOMO DENTAL PC
Doing business as
All smiles general dentistry
Practice address
4030 75TH St Ste 1a
Elmhurst, NY 11373-1054
Phone
(718) 779-2985
Fax
(718) 424-8659
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Dr. Lobsang Tsomo, DMD
Title
Dentist/Owner
Phone
(718) 779-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 055162 NY Primary

Addresses

Primary practice location

4030 75TH St Ste 1a
Elmhurst, NY 11373-1054

Mailing address

4030 75TH St Ste 1a
Elmhurst, NY 11373-1054
Phone (718) 779-2985

Other identifiers 1

IdentifierTypeStateIssuer
03271565MedicaidNY

Other names 1

  • All smiles general dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4030 75th St
Ste 1A
Elmhurst, NY 11373
Phone (718) 779-2985

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1467959577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 75TH ST STE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731054",
            "telephone_number": "718-779-2985",
            "fax_number": "718-424-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 75TH ST STE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731054",
            "telephone_number": "718-779-2985",
            "fax_number": "718-424-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSOMO DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "TSOMO",
        "authorized_official_first_name": "LOBSANG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "718-779-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "055162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03271565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All smiles general dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 6, 2018; 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.