Organization Active NPI

Ivan Terrero, Dentist P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1841493921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043274 Issued in NY
Legal business name
IVAN TERRERO, DENTIST P.C.
Practice address
460 Amsterdam Ave
New York, NY 10024-5002
Phone
(212) 580-6291
NPI assigned
Jun 7, 2007
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
Ivan Eduardo Terrero, D.D.S.
Title
President
Phone
(212) 580-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043274 NY Primary

Addresses

Primary practice location

460 Amsterdam Ave
New York, NY 10024-5002

Mailing address

460 Amsterdam Ave
New York, NY 10024-5002
Phone (212) 580-6291

National Provider Directory

National Provider Directory
Tax ID family
Ivan Eduardo Terrero Dentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

460 Amsterdam Ave
New York, NY 10024
Phone (212) 580-6291

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841493921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245002",
            "telephone_number": "212-580-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245002",
            "telephone_number": "212-580-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN TERRERO, DENTIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRERO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-580-6291",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043274",
            "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.