Active NPI
Hughescolondentistrypc
- General Practice Dentistry
- New York, NY
National Provider Identifier
1871769604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043262
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01278335 | Medicaid | NY | |
| 1467517979 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.