Upper East Side Dental Arts, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054816-1 Issued in NY

Legal business name

UPPER EAST SIDE DENTAL ARTS, PLLC

Practice address

130 E 63Rd St
New York, NY 10065-7334

Phone

(212) 751-7725

Fax

(212) 751-7782

NPI assigned

Dec 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Konstantine Trichas, DDS

Title

President

Phone

(212) 751-7725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1134465792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657334",
            "telephone_number": "212-751-7725",
            "fax_number": "212-751-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 63RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657334",
            "telephone_number": "212-751-7725",
            "fax_number": "212-751-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST SIDE DENTAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "TRICHAS",
        "authorized_official_first_name": "KONSTANTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-751-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054816-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 28, 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.