Organization Active NPI

Hughescolondentistrypc

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1871769604
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043262 Issued in NY
Legal business name
HUGHESCOLONDENTISTRYPC
Practice address
581 Academy St Suite C
New York, NY 10034-5102
Phone
(212) 942-1945
Fax
(212) 942-2498
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Sixto Guillermo Tigrero
Title
Maniger
Phone
(212) 942-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 043262 NY Primary

Addresses

Primary practice location

581 Academy St Suite C
New York, NY 10034-5102

Mailing address

581 Academy St Ofc C
New York, NY 10034-5102
Phone (212) 942-1945

Other identifiers 2

IdentifierTypeStateIssuer
01278335MedicaidNY
1467517979MedicaidNY

National Provider Directory

National Provider Directory

Locations

581 Academy St
Ofc C
New York, NY 10034

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1871769604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 ACADEMY ST OFC C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345102",
            "telephone_number": "212-942-1945",
            "fax_number": "212-942-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 ACADEMY ST SUITE C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345102",
            "telephone_number": "212-942-1945",
            "fax_number": "212-942-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHESCOLONDENTISTRYPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TIGRERO",
        "authorized_official_first_name": "SIXTO",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "MANIGER",
        "authorized_official_telephone_number": "212-942-1945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01278335",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467517979",
            "state": "NY"
        }
    ],
    "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 May 1, 2008; 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.