NPIMap

Organization Active NPI

Mailin Mimi Lai, D.D.S., P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1891968012
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAILIN MIMI LAI, D.D.S., P.C.
Practice address
11 E Broadway
13TH Floor
New York, NY 10038-1013
Phone
(212) 227-3088
Fax
(212) 227-3866
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Mailin Mimi Lai, D.D.S.NPI 1124150461
Title
Owner
Phone
(212) 227-3088

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11 E Broadway
13TH Floor
New York, NY 10038-1013

Mailing address

11 E Broadway
13TH Floor
New York, NY 10038-1013
Phone (212) 227-3088

Other identifiers 10

IdentifierTypeStateIssuer
02635110MedicaidNY
03047812MedicaidNY
03822200MedicaidNY
02883778MedicaidNY
02587759MedicaidNY
03072566MedicaidNY
013560506MedicaidNY
010911258MedicaidNY
02756389MedicaidNY
02901664MedicaidNY

National Provider Directory

National Provider Directory

Locations

11 E Broadway
Fl 13
New York, NY 10038
Phone (212) 227-3088

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1891968012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E BROADWAY",
            "address_2": "13TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381013",
            "telephone_number": "212-227-3088",
            "fax_number": "212-227-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E BROADWAY",
            "address_2": "13TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381013",
            "telephone_number": "212-227-3088",
            "fax_number": "212-227-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAILIN MIMI LAI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "MAILIN",
        "authorized_official_middle_name": "MIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-227-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635110",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03047812",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03822200",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883778",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587759",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03072566",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013560506",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010911258",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02756389",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02901664",
            "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 19, 2009; 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.