Deborahninadentalofficepc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050127-1 Issued in NY

Legal business name

DEBORAHNINADENTALOFFICEPC

Practice address

9203 Roosevelt Ave
Jackson Heights, NY 11372-7941

Phone

(718) 429-6622

Fax

(718) 429-6669

NPI assigned

Feb 21, 2011

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Nina, DDS

Title

Owner

Phone

(718) 429-6622

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Caroline Koslosky, DDS

  • Dentist
  • Jackson Heights, NY
  • NPI 1568240471
  NPD (past)
• Sean Lerner

  • Dentist
  • New York, NY
  • NPI 1477239697
  NPD (past)
• Chu Qiao Liang, DMD

  • Dentist
  • New York, NY
  • NPI 1134809015
  NPD (past)
• Tiana Nichelle Tyndall, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1801536362
  NPD (past)

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1881991214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727941",
            "telephone_number": "718-429-6622",
            "fax_number": "718-429-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727941",
            "telephone_number": "718-429-6622",
            "fax_number": "718-429-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAHNINADENTALOFFICEPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "NINA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-429-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055474-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048101-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050127-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048800-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052578-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055242-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02348667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice De Guia, DOULA
• Moraima A De la Cruz, D.D.S.
• Liliana M De la Hoz-Ayarza, P.T
• Katherine De la Hoz, LMSW
• Sharon Brooke De Marco, LMSW
• Tsering Y Dekhang
• Pedro Pablo Del Toro Baez, M.D.
• Maricel G Dela Cruz
• Kasandra Delgado
• Maria Denaxas, LMSW

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.