NPIMap

Organization Active NPI

Queens Dental PC

  • General Practice Dentistry
  • Inwood, NY
National Provider Identifier
1609261320
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0506501 Issued in NY
Legal business name
QUEENS DENTAL PC
Doing business as
Inwood Dental Care
Practice address
85 Doughty Blvd
Inwood, NY 11096-2001
Phone
(516) 239-3283
Fax
(516) 371-0390
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Ms. Ericka Mayorga
Title
Manager
Phone
(347) 677-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0506501 NY Primary

Addresses

Primary practice location

85 Doughty Blvd
Inwood, NY 11096-2001

Mailing address

85 Doughty Blvd
Inwood, NY 11096-2001
Phone (516) 239-3283

Other names 1

  • Inwood Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inwood Dental Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1609261320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962001",
            "telephone_number": "516-239-3283",
            "fax_number": "516-371-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962001",
            "telephone_number": "516-239-3283",
            "fax_number": "516-371-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-677-2110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0506501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inwood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.