NPIMap

Organization Active NPI

Achury & Puerta Dental Services PLLC

Doing business as Vanguard Dental

  • Dental Clinic/Center
  • Garden City, NY
National Provider Identifier
1851803753
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ACHURY & PUERTA DENTAL SERVICES PLLC
Doing business as
Vanguard Dental
Practice address
601 Franklin Ave Ste 100
Garden City, NY 11530-5760
Phone
(516) 739-4990
Fax
(516) 396-2212
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Dr. Diva Puerta, DDSNPI 1275696502
Title
Member-Manager
Phone
(516) 739-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NY Primary

Addresses

Primary practice location

601 Franklin Ave Ste 100
Garden City, NY 11530-5760

Mailing address

601 Franklin Ave Ste 100
Garden City, NY 11530-5760
Phone (516) 739-4990

Other names 1

  • Vanguard Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1851803753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-739-4990",
            "fax_number": "516-396-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305760",
            "telephone_number": "516-739-4990",
            "fax_number": "516-396-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHURY & PUERTA DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "PUERTA",
        "authorized_official_first_name": "DIVA",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "516-739-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanguard Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.