Mandalay Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047792 Issued in NY

Legal business name

MANDALAY DENTAL CARE PC

Practice address

98 E Broadway Ste 501
New York, NY 10002-7181

Phone

(212) 227-4349

Fax

(212) 226-1613

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Phoebe Tin Tin Ma, DMDNPI 1427047406

Title

Dentist

Phone

(212) 227-4349

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phoebe Tin Tin Ma, DMD

  • Dentist
  • New York, NY
  • NPI 1427047406
  NPD (past) Authorized official

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1669753299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E BROADWAY STE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027181",
            "telephone_number": "212-227-4349",
            "fax_number": "212-226-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E BROADWAY STE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027181",
            "telephone_number": "212-227-4349",
            "fax_number": "212-226-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_middle_name": "TIN TIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-227-4349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Anne Mandala, PA-C
• Kristina Mandala
• Mark Vincent Mandala
• Thomas Mandala, PT, DPT, SCS, CSCS
• Sunil Mandalapu, RPH
• Leighia Willis Mandanas, R.PH.
• Dro Mandani
• Vincent John Mandarine, D.D.S.
• Kartikeya Devaratas Mandavilli, M.D
• Mandel Medical Consulting PC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.