Carlos Manuel Ovalle, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046968-1 Issued in NY

Practice address

201 Wadsworth Ave Apt GD2
New York, NY 10033-3862

Phone

(212) 927-1721

Fax

(212) 781-9600

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos M. Ovalle D.D.S.P.C

  • General Practice Dentistry
  • New York, NY
  • NPI 1306019088
  Authorized official Same address or phone

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790988939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH AVE APT GD2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333862",
            "telephone_number": "212-927-1721",
            "fax_number": "212-781-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH AVE APT GD2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333862",
            "telephone_number": "212-927-1721",
            "fax_number": "212-781-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVALLE",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046968-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Ouyang, DO
• Helen Ouyang, MD, MPH
• Linda Ouyang
• Shumin Ouyang
• Tova Ovadia, PT
• Jessica Ovalle
• Yadira Ovalles-Lamazza
• Belsabeth Ovalles, M.S.,OTR/L
• Nadia Ovchinsky
• Joseph Hai Oved, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.