Parkchester Childrens Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

0471691 Issued in NY

Legal business name

PARKCHESTER CHILDRENS DENTAL GROUP

Practice address

1488 Metropolitan Avenue
Ste 7
Bronx, NY 10462

Phone

(718) 824-9612

Fax

(718) 824-9614

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arlene M Martin, DDS

Title

Dentist Owner

Phone

(718) 824-9612

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154533156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 METROPOLITAN AVENUE",
            "address_2": "STE 7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-824-9612",
            "fax_number": "718-824-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 METROPOLITAN AVENUE",
            "address_2": "STE 7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-824-9612",
            "fax_number": "718-824-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKCHESTER CHILDRENS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "718-824-9612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0471691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yujung Park
• Yun Woo Park, DDS
• Yuna Park, DDS
• Fauziya Parkar, MD
• Parkare Pharmacy Inc
• Parkchester Dental Group, LLP
• Parkchester Family Pharmacy & Surgical Inc
• Parkchester Natural Health Center Inc.
• Parkchester Oral and Maxillofacial Surgery Associates P.C.
• Nacola Parke-Alleyne

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.