NPIMap

Organization Active NPI

Maria D. Herrera Dentistry, P.C.

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1922200633
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041976-1 Issued in NY
Legal business name
MARIA D. HERRERA DENTISTRY, P.C.
Practice address
3753 91St St
Jackson Heights, NY 11372-7901
Phone
(718) 205-4377
Fax
(718) 205-8605
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Maria De Jesus Herrera, OWNERNPI 1063498046
Title
President
Phone
(718) 205-4377

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 041976-1 NY Primary

Addresses

Primary practice location

3753 91St St
Jackson Heights, NY 11372-7901

Mailing address

3753 91St St
Jackson Heights, NY 11372-7901
Phone (718) 205-4377

Other identifiers 1

IdentifierTypeStateIssuer
02685243MedicaidNY

National Provider Directory

National Provider Directory

Locations

3753 91st St
Jackson Heights, NY 11372
Phone (646) 306-7141

Practitioners & affiliated clinicians

Practitioners 6

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1922200633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-205-4377",
            "fax_number": "718-205-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-205-4377",
            "fax_number": "718-205-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA D. HERRERA DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041976-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.