Essex Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046096 Issued in NY

Legal business name

ESSEX DENTAL OFFICE

Practice address

143 Essex St
New York, NY 10002-2336

Phone

(212) 228-2999

Fax

(212) 228-3323

NPI assigned

May 21, 2007

Last updated

Jan 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Rafael De Leon, D.D.S.NPI 1396735411

Title

President

Phone

(212) 228-2999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jose Rafael De Leon, D.D.S.

  • General Practice Dentistry
  • New York, NY
  • NPI 1396735411
  NPD (past) Authorized official
• Marimar Gracia, DMD

  • Dentist
  • New York, NY
  • NPI 1205006335
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1477762375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 ESSEX ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022336",
            "telephone_number": "212-228-2999",
            "fax_number": "212-228-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 ESSEX ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022336",
            "telephone_number": "212-228-2999",
            "fax_number": "212-228-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-228-2999",
        "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": "046096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Wellness Acupuncture
• Essentialyze Healthcare, LLC
• Katherine Esser
• Danielle Nicole Esses
• Gary Esses
• Bennett Keegan Essig, PA-C
• David Allen Essig, MD
• Ellen Margaret Essig, RN, FNP
• Mitchell Neil Essig
• Juliet Essilfie, MD

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Jan 25, 2008; 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.