NPIMap

Organization Active NPI

P&R Executive Dental Management Inc

  • Dentist
  • New York, NY
National Provider Identifier
1932453172
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0550851 Issued in NY
Legal business name
P&R EXECUTIVE DENTAL MANAGEMENT INC
Practice address
2127 1St Ave
New York, NY 10029-3339
Phone
(212) 426-8202
Fax
(212) 426-6802
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Veronica Diaz, D.D.S.
Title
Dentist/Owner
Phone
(212) 426-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0550851 NY Primary

Addresses

Primary practice location

2127 1St Ave
New York, NY 10029-3339

Mailing address

2127 1St Ave
New York, NY 10029-3339
Phone (212) 426-8202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1932453172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293339",
            "telephone_number": "212-426-8202",
            "fax_number": "212-426-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293339",
            "telephone_number": "212-426-8202",
            "fax_number": "212-426-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&R EXECUTIVE DENTAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "212-426-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0550851",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 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.