Active NPI
Avl Dental PLLC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1689749186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 044720
- Legal business name
- AVL DENTAL PLLC
- Practice address
- 163 W 145TH St
New York, NY 10039-4234 - Phone
- (212) 281-9200
- Fax
- (212) 281-9222
- NPI assigned
- Nov 21, 2006
- Last updated
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alla V Litvinova
- Title
- Owner
- Phone
- (212) 281-9200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 044720 | NY | Primary |
Addresses
Primary practice location
163 W 145TH St
New York, NY 10039-4234
Mailing address
163 W 145TH St
New York, NY 10039-4234
Phone (212) 281-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01435432 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- New York, NY
- NPI 1144311309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1689749186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100394234",
"telephone_number": "212-281-9200",
"fax_number": "212-281-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 W 145TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100394234",
"telephone_number": "212-281-9200",
"fax_number": "212-281-9222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVL DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "LITVINOVA",
"authorized_official_first_name": "ALLA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-281-9200"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "044720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01435432",
"state": "NY"
}
],
"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 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.