Organization Active NPI

Praise the Lord Dental,P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1841314010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046959 Issued in NY
Legal business name
PRAISE THE LORD DENTAL,P.C.
Practice address
122 La Salle St
New York, NY 10027-4625
Phone
(212) 866-1313
Fax
(212) 866-2061
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacinto Alonzo Martinez, DDSNPI 1306970538
Title
Owner
Phone
(212) 866-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046959 NY Primary

Addresses

Primary practice location

122 La Salle St
New York, NY 10027-4625

Mailing address

122 La Salle St
New York, NY 10027-4625
Phone (212) 866-1313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841314010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LA SALLE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274625",
            "telephone_number": "212-866-1313",
            "fax_number": "212-866-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LA SALLE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274625",
            "telephone_number": "212-866-1313",
            "fax_number": "212-866-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE THE LORD DENTAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JACINTO",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-866-1313",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.