Organization Active NPI

Central Avenue Dental Arts, PC

  • Dental Clinic/Center
  • Hartsdale, NY
National Provider Identifier
1508911769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
042878 Issued in NY
Legal business name
CENTRAL AVENUE DENTAL ARTS, PC
Practice address
111 N Central Ave
Suite 280
Hartsdale, NY 10530-1903
Phone
(914) 997-2775
Fax
(914) 997-9394
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ira Levine, DDS
Title
President
Phone
(914) 997-2775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 042878 NY Primary

Addresses

Primary practice location

111 N Central Ave
Suite 280
Hartsdale, NY 10530-1903

Mailing address

111 N Central Ave
Suite 280
Hartsdale, NY 10530-1903
Phone (914) 997-2775

National Provider Directory

National Provider Directory

Locations

111 N Central Ave
Ste 280
Hartsdale, NY 10530
Phone (914) 725-6005

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508911769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N CENTRAL AVE",
            "address_2": "SUITE 280",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301903",
            "telephone_number": "914-997-2775",
            "fax_number": "914-997-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N CENTRAL AVE",
            "address_2": "SUITE 280",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301903",
            "telephone_number": "914-997-2775",
            "fax_number": "914-997-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE DENTAL ARTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-997-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "042878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.