Active NPI
Queens Dental PC
- Dentist
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0506501
- Legal business name
- QUEENS DENTAL PC
- Practice address
- 9030 161St
Jamaica, NY 11432 - Phone
- (718) 657-9811
- Fax
- (718) 657-9799
- NPI assigned
- Nov 2, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Luz A Chavez, DDS
- Title
- President
- Phone
- (718) 657-9811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0506501 | NY | Primary |
Addresses
Primary practice location
9030 161St
Jamaica, NY 11432
Mailing address
9030 161St
Jamaica, NY 11432
Phone (718) 657-9811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02427076 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Inwood Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
9030 161st St
Jamaica, NY 11432
Phone (718) 657-9811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Jamaica, NY
- NPI 1538331368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558352229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 161ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-657-9811",
"fax_number": "718-657-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 161ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-657-9811",
"fax_number": "718-657-9799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "LUZ",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-657-9811",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0506501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02427076",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, 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.