Organization Active NPI

K&K Dental PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1073871455
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049610 Issued in NY
Legal business name
K&K DENTAL PC
Practice address
816 59TH St
Brooklyn, NY 11220-3783
Phone
(718) 927-7557
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Kenny Ho, DDS
Title
Owner
Phone
(718) 928-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049610 NY Primary

Addresses

Primary practice location

816 59TH St
Brooklyn, NY 11220-3783

Mailing address

816 59TH St
Brooklyn, NY 11220-3783

Other identifiers 1

IdentifierTypeStateIssuer
02320661MedicaidNY

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1073871455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203783",
            "telephone_number": "718-927-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&K DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-928-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320661",
            "state": "NY"
        }
    ],
    "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 Apr 24, 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.