Columbus Avenue Dental Association

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046108 Issued in NY

Legal business name

COLUMBUS AVENUE DENTAL ASSOCIATION

Practice address

902 Columbus Ave
New York, NY 10025

Phone

(212) 749-5000

Fax

(212) 749-5522

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carol Poveda, DDS

Title

President

Phone

(212) 749-5000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538367222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-749-5000",
            "fax_number": "212-749-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-749-5000",
            "fax_number": "212-749-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS AVENUE DENTAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POVEDA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-749-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145435",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01668193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia/Newyork-Presbyterian Advanced Imaging Inc.
• Columbiadoctors Ambulatory Care Network
• Columbiadoctors/Newyork-Presbyterianimaging
• Anna Columbro, CRNA
• Columbus & 103Rd St Drug Corp
• Columbus Avenue Medical Professionals, PC
• Columbus Circle Acupuncture Wellness PC
• Columbus Circle Freesia Acupuncture PC
• Columbus Circle Medical Services,PLLC
• Columbus Circle Orthopaedics PLLC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• 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.