Individual provider Active NPI

Indira Rocha, D.D.S.

  • General Practice Dentistry
  • Kew Gardens, NY
National Provider Identifier
1811338262
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056601-1 Issued in NY
Practice address
8300 Talbot St
Apt #7H
Kew Gardens, NY 11415-3555
Phone
(917) 664-1183
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056601-1 NY Primary

Addresses

Primary practice location

8300 Talbot St
Apt #7H
Kew Gardens, NY 11415-3555

Mailing address

8300 Talbot St
Apt #7H
Kew Gardens, NY 11415-3555

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240412002688 NY Practitioner - Dentist 2668811498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056601-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Apr 1, 2024 Accepting new patients
State of New York Comptrollers Office CurrentSince Apr 1, 2024 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

76 Firemens Way
Poughkeepsie, NY 12603
Phone (845) 452-9220

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1811338262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST",
            "address_2": "APT #7H",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TALBOT ST",
            "address_2": "APT #7H",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153555",
            "telephone_number": "917-664-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056601-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.