Active NPI
Loan S. Mao, DDS PC
Doing business as Mt. Kisco Pediatric Dentistry
- Pediatric Dentistry
- Mount Kisco, NY
National Provider Identifier
1568736429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 054287
- Legal business name
- LOAN S. MAO, DDS PC
- Doing business as
- Mt. Kisco Pediatric Dentistry
- Practice address
- 105 S Bedford Rd
315
Mount Kisco, NY 10549-3441 - Phone
- (510) 725-2172
- NPI assigned
- Feb 23, 2012
- 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
- Dr. Loan S Mao, DDS
- Title
- Dentist
- Phone
- (510) 725-2172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 054287 | NY | Primary |
Addresses
Primary practice location
105 S Bedford Rd
315
Mount Kisco, NY 10549-3441
Mailing address
1416 146TH St
Whitestone, NY 11357-2436
Phone (510) 725-2172
Other names 1
- Mt. Kisco Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
105 S Bedford Rd
Ste 315
Mount Kisco, NY 10549
Phone (510) 725-2172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1568736429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 146TH ST",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113572436",
"telephone_number": "510-725-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BEDFORD RD",
"address_2": "315",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493441",
"telephone_number": "510-725-2172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOAN S. MAO, DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "MAO",
"authorized_official_first_name": "LOAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "510-725-2172",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "054287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mt. Kisco Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.