Organization Active NPI

Terrero Dental III, PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1972796969
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043274 Issued in NY
Legal business name
TERRERO DENTAL III, PC
Practice address
147 Montague St
Brooklyn, NY 11201-3510
Phone
(212) 825-0943
Fax
(212) 668-5252
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Ivan Eduado Terrero
Title
President
Phone
(212) 825-0943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043274 NY Primary

Addresses

Primary practice location

147 Montague St
Brooklyn, NY 11201-3510

Mailing address

17 Battery PL Ste 205
New York, NY 10004-1151
Phone (212) 825-0943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1972796969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BATTERY PL STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041151",
            "telephone_number": "212-825-0943",
            "fax_number": "212-668-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013510",
            "telephone_number": "212-825-0943",
            "fax_number": "212-668-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRERO DENTAL III, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRERO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "EDUADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-825-0943",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.