Organization Active NPI

La Petite Dent Pediatric Dentistry

  • Pediatric Dentistry
  • Nanuet, NY
National Provider Identifier
1477960946
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
055676 Issued in NY
Legal business name
LA PETITE DENT PEDIATRIC DENTISTRY
Practice address
25 Smith St
103
Nanuet, NY 10954-2912
Phone
(845) 624-0011
Fax
(845) 624-0014
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Cindy Chay, DMD
Title
Owner
Phone
(201) 403-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 055676 NY Primary

Addresses

Primary practice location

25 Smith St
103
Nanuet, NY 10954-2912

Mailing address

55 Princeton St
Closter, NJ 07624-1520
Phone (201) 403-1909

National Provider Directory

National Provider Directory

Locations

25 Smith St
Ste 103
Nanuet, NY 10954
Phone (845) 624-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1477960946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PRINCETON ST",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241520",
            "telephone_number": "201-403-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SMITH ST",
            "address_2": "103",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542912",
            "telephone_number": "845-624-0011",
            "fax_number": "845-624-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PETITE DENT PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "CHAY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-403-1909",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "055676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.