Lida C. Baquero-Barreneche DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIDA C. BAQUERO-BARRENECHE DDS, PLLC

Doing business as

Lida Dental

Practice address

4207 Utopia Pkwy
Flushing, NY 11358-2735

Phone

(718) 357-5545

Fax

(718) 357-5545

NPI assigned

Dec 31, 2019

Last updated

Dec 31, 2019By 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. Lida C Baquero-Barreneche, DDSNPI 1508954504

Title

Owner

Phone

(718) 357-5545

Specialties & licenses 1

Addresses

Other names 1

• Lida Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lida C. Baquero-Barreneche, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1508954504
  NPD (past) Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1821637497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17128 COURTNEY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583812",
            "telephone_number": "718-357-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582735",
            "telephone_number": "718-357-5545",
            "fax_number": "718-357-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDA C. BAQUERO-BARRENECHE DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "BAQUERO-BARRENECHE",
        "authorized_official_first_name": "LIDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-357-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lida Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noemi Elsa Liberman de Pallanza, LMHC
• Tamar Joy Liberman, MS
• Oleg Liberov, OPTICIAN
• Liberty Obs
• Eliana Lichtman, M.A.
• Lida Physical Therapy & Acupuncture PLLC
• Bailey Yingchen Lien, M.D.
• Vivian Lien, R.N.
• Dina Joy Lieser, M.D.
• Kathleen Ming Liew, PA

• Dental Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.