Organization Active NPI

Jackson Heights Dental Care

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1639767064
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACKSON HEIGHTS DENTAL CARE
Practice address
3560 74TH St Ste 103
Jackson Heights, NY 11372-4300
Phone
(718) 898-0300
Fax
(718) 478-1123
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Dr. Cynthia Tsen, DDS
Title
Owner
Phone
(718) 898-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3560 74TH St Ste 103
Jackson Heights, NY 11372-4300

Mailing address

3560 74TH St Ste 103
Jackson Heights, NY 11372-4300
Phone (718) 898-0300

National Provider Directory

National Provider Directory

Locations

3560 74th St
Ste 103
Jackson Heights, NY 11372
Phone (718) 898-0300

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1639767064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 74TH ST STE 103",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724300",
            "telephone_number": "718-898-0300",
            "fax_number": "718-478-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 74TH ST STE 103",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724300",
            "telephone_number": "718-898-0300",
            "fax_number": "718-478-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "TSEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-898-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.