Active NPI
Jose Luis Ladino, DDS
- General Practice Dentistry
- Jackson Heights, NY
National Provider Identifier
1548516198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 056206
- Practice address
- 3553 82ND St
Suite 1E
Jackson Heights, NY 11372-5162 - Phone
- (718) 476-4176
- NPI assigned
- Aug 1, 2012
- Last updated
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056206 | NY | Primary |
Addresses
Primary practice location
3553 82ND St
Suite 1E
Jackson Heights, NY 11372-5162
Mailing address
679 48TH St
Apt 4K
Brooklyn, NY 11220-2153
Phone (917) 499-3449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03486519 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056206 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladino Dental PLLC | Current | Accepting new patients | |
| Ladino Dental PLLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Premier Dental of Woodhaven
- Dental Clinic/Center
- Woodhaven, NY
- NPI 1831832906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1548516198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 48TH ST",
"address_2": "APT 4K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202153",
"telephone_number": "917-499-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 82ND ST",
"address_2": "SUITE 1E",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725162",
"telephone_number": "718-476-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADINO",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "056206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03486519",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.