NPIMap

Organization Active NPI

Chatham Square Dental Associate, PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1154838068
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHATHAM SQUARE DENTAL ASSOCIATE, PC
Practice address
7 Chatham SQ RM 503
New York, NY 10038-1000
Phone
(212) 385-8080
Fax
(212) 385-8082
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Glenn Ho Ngan, DDSNPI 1669639464
Title
President
Phone
(212) 385-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7 Chatham SQ RM 503
New York, NY 10038-1000

Mailing address

7 Chatham SQ RM 503
New York, NY 10038-1000
Phone (212) 385-8080

Other names 1

  • Chatham Square Dental Associate PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1154838068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHATHAM SQ RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381000",
            "telephone_number": "212-385-8080",
            "fax_number": "212-385-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHATHAM SQ RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381000",
            "telephone_number": "212-385-8080",
            "fax_number": "212-385-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM SQUARE DENTAL ASSOCIATE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "NGAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-385-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Square Dental Associate PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.