Rainbow Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047199-1 Issued in NY

Legal business name

RAINBOW DENTAL, PC

Practice address

2533 36TH Avenue
Long Island City, NY 11106-3209

Phone

(718) 433-0515

Fax

(718) 433-0515

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Nabila Yasmin Mannan, DDS

Title

Dentist/Owner

Phone

(718) 433-0515

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1578713723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 36TH AVENUE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063209",
            "telephone_number": "718-433-0515",
            "fax_number": "718-433-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 36TH AVENUE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063209",
            "telephone_number": "718-433-0515",
            "fax_number": "718-433-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MANNAN",
        "authorized_official_first_name": "NABILA",
        "authorized_official_middle_name": "YASMIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "718-433-0515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047199-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ezel Laluces Quilapio
• Stephanie Rose Quinones, RN
• Johanna Qvist-Castro, RN
• Henry Ragotero
• Oishi Rahman
• Isabella Raineri
• Pardis Rajabi, DDS
• Daliya Rajan
• Rukayat Raji Adegafe
• Prajeesh Ramachandran

• General Practice Dentistry in Long Island City, NY
• Providers in Long Island City, 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 Sep 24, 2008; 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.