Organization Active NPI

Pediatric Dental World, PC

  • Pediatric Dentistry
  • East Elmhurst, NY
National Provider Identifier
1629366703
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
053544 Issued in NY
Legal business name
PEDIATRIC DENTAL WORLD, PC
Practice address
3209 82ND St
East Elmhurst, NY 11370-2003
Phone
(718) 478-2825
Fax
(718) 478-2831
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Dr. Desiree Laracuente, DMDNPI 1922106517
Title
Owner
Phone
(718) 478-2825

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 053544 NY Primary

Addresses

Primary practice location

3209 82ND St
East Elmhurst, NY 11370-2003

Mailing address

3209 82ND St
East Elmhurst, NY 11370-2003
Phone (718) 478-2825

National Provider Directory

National Provider Directory

Locations

7228 Broadway
#2
Jackson Heights, NY 11372

Practitioners & affiliated clinicians

Practitioners 1

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1629366703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 82ND ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702003",
            "telephone_number": "718-478-2825",
            "fax_number": "718-478-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 82ND ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702003",
            "telephone_number": "718-478-2825",
            "fax_number": "718-478-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL WORLD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "LARACUENTE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-478-2825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "053544",
            "primary": true
        }
    ],
    "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 Mar 6, 2026; 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.