Organization Active NPI

Avl Dental PLLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1689749186
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044720 Issued in NY
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Alla V LitvinovaNPI 1144311309
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01435432MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.