Rego Dental, LLP

Primary specialty

DentistTaxonomy code 122300000X

License

046816 Issued in NY

Legal business name

REGO DENTAL, LLP

Practice address

13620 38TH Ave
Suite 6C
Flushing, NY 11354-4233

Phone

(718) 886-8199

Fax

(718) 886-8699

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin X Xue, DMD

Title

Oral Surgeon

Phone

(917) 817-5460

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1487826632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE 6C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544233",
            "telephone_number": "718-886-8199",
            "fax_number": "718-886-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE 6C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544233",
            "telephone_number": "718-886-8199",
            "fax_number": "718-886-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGO DENTAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "XUE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "917-817-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046816",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "043904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01702010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.