Organization Active NPI

Ludlow Dental P.C.

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1598918468
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033316 Issued in NY
Legal business name
LUDLOW DENTAL P.C.
Practice address
45 Ludlow St
Suite 606
Yonkers, NY 10705-1947
Phone
(914) 423-2493
Fax
(914) 423-0263
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Dr. Revathi Laxminarayan, DDSNPI 1407903404
Title
Dentist
Phone
(914) 423-2493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 044823 NY
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 033316 NY Primary

Addresses

Primary practice location

45 Ludlow St
Suite 606
Yonkers, NY 10705-1947

Mailing address

45 Ludlow St
Suite 606
Yonkers, NY 10705-1947
Phone (914) 423-2493

Other identifiers 1

IdentifierTypeStateIssuer
01452675MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Chhagan M Patel Dentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1598918468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 606",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-423-2493",
            "fax_number": "914-423-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 606",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-423-2493",
            "fax_number": "914-423-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDLOW DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "LAXMINARAYAN",
        "authorized_official_first_name": "REVATHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "914-423-2493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044823",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.