NPIMap

Organization Active NPI

D.R.P. Dental Industries, Inc,

  • Dental Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1679723308
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
044819 Issued in NY
Legal business name
D.R.P. DENTAL INDUSTRIES, INC,
Practice address
4071 Denman St
Elmhurst, NY 11373-1608
Phone
(718) 476-1573
Fax
(718) 478-2485
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. Jose Aristides Roa, D.D.S.NPI 1205828423
Title
President
Phone
(718) 476-1573

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
Dental Clinic/Center 261QD0000X 044819 NY Primary

Addresses

Primary practice location

4071 Denman St
Elmhurst, NY 11373-1608

Mailing address

4071 Denman St
Elmhurst, NY 11373-1608
Phone (718) 476-1573

National Provider Directory

National Provider Directory

Locations

4071 Denman St
Elmhurst, NY 11373
Phone (718) 476-1573

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1679723308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 DENMAN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731608",
            "telephone_number": "718-476-1573",
            "fax_number": "718-478-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 DENMAN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731608",
            "telephone_number": "718-476-1573",
            "fax_number": "718-478-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R.P. DENTAL INDUSTRIES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARISTIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-476-1573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "044819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.