Active NPI
Praise the Lord Dental,P.C.
- General Practice Dentistry
- New York, NY
National Provider Identifier
1841314010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046959
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacinto Alonzo Martinez, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- New York, NY
- NPI 1306970538
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.