Bryant Park Dental Associate PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

038514 Issued in NY

Legal business name

BRYANT PARK DENTAL ASSOCIATE PLLC

Practice address

10 E 40TH St RM 2105
New York, NY 10016-0201

Phone

(212) 779-3368

Fax

(212) 779-8254

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Syngbum Kim, DDSNPI 1104965623

Title

Owner

Phone

(212) 779-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syngbum Kim, D.D.S

  • Dentist
  • New York, NY
  • NPI 1104965623
  NPD (past) Authorized official

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1083853063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 40TH ST RM 2105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160201",
            "telephone_number": "212-779-3368",
            "fax_number": "212-779-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 40TH ST RM 2105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160201",
            "telephone_number": "212-779-3368",
            "fax_number": "212-779-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT PARK DENTAL ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SYNGBUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-779-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "038514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadesha Kimberly Bryan, RN
• Patricia Bryan, LCSW
• Sharla D Bryan, DO
• Tamara S Bryan, PHD
• Thelma P Bryan
• Bryant Park Health Medical, P.C.
• Bryant Park Physical Therapy PC
• Bryant Park Podiatry
• Bryant West Psychology PLLC
• Bryant West Psychology PLLC

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.