Hector Pena, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

050912 Issued in NY

Practice address

3255 83Rd St
Ground Floor
East Elmhurst, NY 11370-2007

Phone

(718) 313-0613

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Nina Laracuente DMD P.C.

  dba Braces World Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • East Elmhurst, NY
  • NPI 1750609574
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1801819685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 LITTLE NECK AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101852",
            "telephone_number": "917-674-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 83RD ST",
            "address_2": "GROUND FLOOR",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702007",
            "telephone_number": "718-313-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "HECTOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050912",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050912",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "11343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL USA DENTAL PROVIDER",
            "identifier": "9176251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parmjit Parihar
• Ajaykumar S Patel, RPH
• Paul Spatzner DDS, PC
• Anjlina Paul
• Pediatric Dental World, PC
• Joanne Pena
• Karol Peralta-Enriquez
• Albert Peralta, O.D
• Cindy Perez
• Heylen Perez, LMT

• Orthodontics and Dentofacial Orthopedics Dentistry in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.