Organization Active NPI

Loan S. Mao, DDS PC

Doing business as Mt. Kisco Pediatric Dentistry

  • Pediatric Dentistry
  • Mount Kisco, NY
National Provider Identifier
1568736429
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
054287 Issued in NY
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

Updated by the provider on Feb 23, 2012

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.