Empire Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

048236 Issued in NY

Legal business name

EMPIRE PEDIATRIC DENTISTRY

Practice address

365 W 25TH St
New York, NY 10001-5803

Phone

(212) 255-4337

NPI assigned

Jan 21, 2015

Last updated

Dec 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice Lee, DDS

Title

President

Phone

(212) 255-4337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1790174241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015803",
            "telephone_number": "212-255-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015803",
            "telephone_number": "212-255-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-255-4337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "048236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire DME Services
• Empire Gastroenterology PLLC
• Empire Interventional Pain, PC
• Empire Medical Practice, PC
• Empire Ny Medical Care PLLC
• Empire Physiatry, PLLC
• Empire Physical Therapy & Althletic Rehabilitation P.C.
• Empire Podiatry P.C.
• Empire Podiatry Surgery PC
• Empire Prosthetic & Orthotic Designs LLC

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.