Organization Active NPI

Tiny Teeth Pediatric Dentistry PC

  • Pediatric Dentistry
  • Mineola, NY
National Provider Identifier
1497562896
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TINY TEETH PEDIATRIC DENTISTRY PC
Practice address
297 Mineola Blvd
Mineola, NY 11501-1502
Phone
(516) 272-4450
Fax
(516) 272-4942
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Authorized official

Name
Dr. Antonia Rose Mauro, DDSNPI 1386101848
Title
Owner
Phone
(516) 350-4502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

297 Mineola Blvd
Mineola, NY 11501-1502

Mailing address

59 Titus Ave
Carle Place, NY 11514-1312
Phone (516) 350-4502

National Provider Directory

National Provider Directory

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": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754092800000",
    "number": "1497562896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TITUS AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141312",
            "telephone_number": "516-350-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011502",
            "telephone_number": "516-272-4450",
            "fax_number": "516-272-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TEETH PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-350-4502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.