Organization Active NPI

Little T Kids Dentistry

  • Pediatric Dentistry
  • Jackson Heights, NY
National Provider Identifier
1760034391
Registry record updated Jul 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE T KIDS DENTISTRY
Practice address
8610 Roosevelt Ave Ste 31
Jackson Heights, NY 11372-7511
Phone
(303) 725-7845
NPI assigned
Jul 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2019

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

Authorized official

Name
Dr. Carter Le, DDS
Title
Owner
Phone
(303) 725-7845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8610 Roosevelt Ave Ste 31
Jackson Heights, NY 11372-7511

Mailing address

8610 Roosevelt Ave Ste 31
Jackson Heights, NY 11372-7511

Other identifiers 1

IdentifierTypeStateIssuer
04838822MedicaidNY

National Provider Directory

National Provider Directory

Locations

8610 Roosevelt Ave
Ste 31
Jackson Heights, NY 11372
Phone (303) 725-7845

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562976000000",
    "number": "1760034391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 ROOSEVELT AVE STE 31",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 ROOSEVELT AVE STE 31",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727511",
            "telephone_number": "303-725-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE T KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-725-7845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04838822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.