Individual provider Active NPI

Cesar A Linares, D.D.S.

  • General Practice Dentistry
  • Fresh Meadows, NY
National Provider Identifier
1508050535
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039374-1 Issued in NY
Practice address
16618 73Rd Ave
Fresh Meadows, NY 11366-1244
Phone
(718) 591-6852
Fax
(718) 591-6853
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039374-1 NY Primary

Addresses

Primary practice location

16618 73Rd Ave
Fresh Meadows, NY 11366-1244

Mailing address

16618 73Rd Ave
Fresh Meadows, NY 11366-1244
Phone (718) 591-6852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 17, 2016 through Feb 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
039374-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1508050535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16618 73RD AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661244",
            "telephone_number": "718-591-6852",
            "fax_number": "718-591-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 73RD AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661244",
            "telephone_number": "718-591-6852",
            "fax_number": "718-591-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARES",
        "first_name": "CESAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.