Active NPI
Paula Small, D.D.S.
- Prosthodontics
- New York, NY
National Provider Identifier
1659515773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 043481
- Practice address
- 425 Madison Ave
Suite 900
New York, NY 10017 - Phone
- (347) 989-4441
- Fax
- (347) 402-4447
- NPI assigned
- Apr 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 043481 | NY | Primary |
Addresses
Primary practice location
425 Madison Ave
Suite 900
New York, NY 10017
Mailing address
425 Madison Ave
Suite 900
New York, NY 10017
Phone (347) 989-4441
Other practice location 1
425 Madison Ave
2nd floor
New York, NY 10017-1110
Phone (212) 752-1919
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 |
|---|---|---|---|
| 043481 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1659515773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MADISON AVE",
"address_2": "SUITE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "347-989-4441",
"fax_number": "347-402-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MADISON AVE",
"address_2": "SUITE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "347-989-4441",
"fax_number": "347-402-4447"
}
],
"practiceLocations": [
{
"address_1": "425 Madison Ave",
"address_2": "2nd floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100171110",
"country_code": "US",
"telephone_number": "212-752-1919",
"fax_number": "212-752-4533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "043481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.