Active NPI
Tsomo Dental PC
- Dental Clinic/Center
- Elmhurst, NY
National Provider Identifier
1467959577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 055162
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03271565 | Medicaid | NY |
Other names 1
- All smiles general dentistry
National Provider Directory
National Provider DirectoryLocations
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.