Organization Active NPI

Dental Artes LLC

  • Dentist
  • Ridgewood, NY
National Provider Identifier
1497147953
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053450 Issued in NY
Legal business name
DENTAL ARTES LLC
Practice address
681A Seneca Ave
Ridgewood, NY 11385-9301
Phone
(347) 987-3510
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Waldo Cubero, DDS
Title
Dentist
Phone
(347) 987-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053450 NY Primary

Addresses

Primary practice location

681A Seneca Ave
Ridgewood, NY 11385-9301

Mailing address

681A Seneca Ave
Ridgewood, NY 11385-9301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1497147953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681A SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113859301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681A SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113859301",
            "telephone_number": "347-987-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "CUBERO",
        "authorized_official_first_name": "WALDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-987-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.