Organization Active NPI

Anna Melissa Concepcion, D.M.D., P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1043714579
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053151 Issued in NY
Legal business name
ANNA MELISSA CONCEPCION, D.M.D., P.C.
Practice address
158 E 58TH St
Suite 412
New York, NY 10022-0002
Phone
(212) 832-4110
Fax
(212) 697-1289
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Anna Melissa Concepcion, DMD
Title
Dentist/Owner
Phone
(212) 832-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 053151 NY Primary

Addresses

Primary practice location

158 E 58TH St
Suite 412
New York, NY 10022-0002

Mailing address

158 E 58TH St
Suite 412
New York, NY 10022-0002
Phone (212) 832-4110

Other names 1

  • Concept Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1043714579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E 58TH ST",
            "address_2": "SUITE 412",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100220002",
            "telephone_number": "212-832-4110",
            "fax_number": "212-697-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 58TH ST",
            "address_2": "SUITE 412",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100220002",
            "telephone_number": "212-832-4110",
            "fax_number": "212-697-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA MELISSA CONCEPCION, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "ANNA MELISSA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "212-832-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concept Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2018; 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.