Organization Active NPI

Picasso Dental Office PC

  • General Practice Dentistry
  • Corona, NY
National Provider Identifier
1477845535
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PICASSO DENTAL OFFICE PC
Practice address
4010 National St
Corona, NY 11368-2366
Phone
(718) 505-1934
Fax
(718) 505-1942
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Ms. Aisel Felix, DDS
Title
Owner
Phone
(718) 505-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NY Primary

Addresses

Primary practice location

4010 National St
Corona, NY 11368-2366

Mailing address

12 Hartwell PL
Woodmere, NY 11598-1222
Phone (917) 292-9314

National Provider Directory

National Provider Directory

Locations

4010 National St
Corona, NY 11368
Phone (718) 505-0942

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1477845535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HARTWELL PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981222",
            "telephone_number": "917-292-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NATIONAL ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682366",
            "telephone_number": "718-505-1934",
            "fax_number": "718-505-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICASSO DENTAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "AISEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-505-0934",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.