Organization Active NPI

Wanda Arden DDS PLLC

  • General Practice Dentistry
  • Maspeth, NY
National Provider Identifier
1992084586
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37987 Issued in NY
Legal business name
WANDA ARDEN DDS PLLC
Practice address
5977 58TH Ave
Maspeth, NY 11378-3219
Phone
(718) 894-1516
Fax
(718) 894-1516
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Magdalena Dragan
Title
Manager
Phone
(718) 894-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37987 NY Primary

Addresses

Primary practice location

5977 58TH Ave
Maspeth, NY 11378-3219

Mailing address

5977 58TH Ave
Maspeth, NY 11378-3219
Phone (718) 894-1516

National Provider Directory

National Provider Directory

Locations

5977 58th Ave
Maspeth, NY 11378
Phone (718) 894-1516

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": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1992084586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5977 58TH AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783219",
            "telephone_number": "718-894-1516",
            "fax_number": "718-894-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 58TH AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783219",
            "telephone_number": "718-894-1516",
            "fax_number": "718-894-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA ARDEN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "DRAGAN",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-894-1516"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.