OrganizationActive
Central Park Dental Spa
NPI 1184079477 · Dental Clinic/Center · New York, NY
Central Park Dental Spa is a Dental Clinic/Center organization in New York, NY (NPI 1184079477).
Provider details
- NPI number
- 1184079477
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eda Ellis, Dentist(212) 753-1119
- License
- 044489 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Central Park S
7a
New York, NY 10019-1628
Phone: (212) 753-1119
Street-level locationGet directions
Mailing address
30 Central Park S
New York, NY 10019-1628
Registry dates
- Enumerated
- 2016-04-25
- Last updated
- 2016-04-25
Frequently asked questions
- What is Central Park Dental Spa's NPI number?
- Central Park Dental Spa's National Provider Identifier (NPI) is 1184079477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Park Dental Spa?
- Central Park Dental Spa is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Central Park Dental Spa located?
- Central Park Dental Spa's practice location on file with NPPES is 30 Central Park S, New York, NY 10019-1628.
- What is Central Park Dental Spa's phone number?
- The practice phone number listed in the NPPES registry for Central Park Dental Spa is (212) 753-1119.
- Who is the authorized official for Central Park Dental Spa?
- The authorized official listed on Central Park Dental Spa's NPPES record is Eda Ellis, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Park Dental Spa's NPI active?
- Yes — Central Park Dental Spa's NPI (1184079477) is active in the NPPES registry as of the last update on 2016-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.