Open Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

056676 Issued in NY

Legal business name

OPEN DENTAL PC

Practice address

300 E 96TH St Apt 6E
New York, NY 10128-3869

Phone

(734) 883-4406

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Anastasia Kovaleva

Title

Office Manager

Phone

(718) 618-7564

Specialties & licenses 1

Addresses

Tax ID family

Open Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Open Dental, P.C.

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1942525985
  NPD tax ID

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1114332798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 96TH ST APT 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283869",
            "telephone_number": "734-883-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 96TH ST APT 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283869",
            "telephone_number": "734-883-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "KOVALEVA",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-618-7564"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "056676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Chukwuemeka Oparanozie
• Jide Opawoye
• Open Bionics Inc
• Open Bright Pediatric Dentistry P.C.
• Open Coast Marriage & Family Therapy, PLLC
• Open Lines Speech and Communication PLLC
• Open Lines Speech and Communication, P.C.
• Open Sesame Dentistry LLC
• Open Space Psychotherapy LMHC PLLC
• Erika Opena

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.