Active NPI
Nina Beatriz Laracuente, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Elmhurst, NY
National Provider Identifier
1609056068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 050779
- Practice address
- 3255 83Rd St
Ground Floor
East Elmhurst, NY 11370-2007 - Phone
- (718) 313-0613
- Fax
- (718) 535-7815
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 050779 | NY | Primary |
| Pediatric Dentistry | 1223P0221X | 050779 | NY |
Addresses
Primary practice location
3255 83Rd St
Ground Floor
East Elmhurst, NY 11370-2007
Mailing address
3255 83Rd St
Ground Floor
East Elmhurst, NY 11370-2007
Phone (718) 313-0613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050779 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nina Laracuente DMD P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Elmhurst, NY
- NPI 1750609574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1609056068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 83RD ST",
"address_2": "GROUND FLOOR",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113702007",
"telephone_number": "718-313-0613",
"fax_number": "718-535-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 83RD ST",
"address_2": "GROUND FLOOR",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113702007",
"telephone_number": "718-313-0613",
"fax_number": "718-535-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARACUENTE",
"first_name": "NINA",
"middle_name": "BEATRIZ",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "050779",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "050779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.