Organization Active NPI

Gentledental General Dentistry P.C.

  • Dentist
  • Bronx, NY
National Provider Identifier
1790949329
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051481 Issued in NY
Legal business name
GENTLEDENTAL GENERAL DENTISTRY P.C.
Practice address
586 Morris Ave
Bronx, NY 10451-4744
Phone
(646) 220-0083
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Teresa Atanacio Manalad, DDS
Title
Dentist
Phone
(646) 220-0083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 051481 NY Primary

Addresses

Primary practice location

586 Morris Ave
Bronx, NY 10451-4744

Mailing address

586 Morris Ave
Bronx, NY 10451-4744
Phone (646) 220-0083

Other identifiers 1

IdentifierTypeStateIssuer
02587777MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1790949329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514744",
            "telephone_number": "646-220-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514744",
            "telephone_number": "646-220-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLEDENTAL GENERAL DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MANALAD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ATANACIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-220-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.