Organization Active NPI

I. E. Terrero, Dentist P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1861695942
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
I. E. TERRERO, DENTIST P.C.
Practice address
1100 2ND Ave
New York, NY 10022-2029
Phone
(646) 214-0500
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
(646) 214-0500

Specialties & licenses 1

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

Addresses

Primary practice location

1100 2ND Ave
New York, NY 10022-2029

Mailing address

1100 2ND Ave
New York, NY 10022-2029
Phone (646) 214-0500

National Provider Directory

National Provider Directory

Locations

1100 2nd Ave
New York, NY 10022
Phone (646) 214-0500

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": "1861695942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222029",
            "telephone_number": "646-214-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222029",
            "telephone_number": "646-214-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. E. 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": "646-214-0500",
        "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.