Organization Active NPI

Metropolitan Dental Group, P.C.

  • Periodontics
  • Yonkers, NY
National Provider Identifier
1184791238
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
043558 Issued in NY
Legal business name
METROPOLITAN DENTAL GROUP, P.C.
Practice address
909 Midland Ave
Ste. C
Yonkers, NY 10704-1092
Phone
(914) 969-0015
Fax
(914) 709-9346
NPI assigned
Nov 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Prabha Krishnan, D.D.S.
Title
Secretary
Phone
(914) 969-0015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044502 NY
Periodontics 1223P0300X 043558 NY Primary

Addresses

Primary practice location

909 Midland Ave
Ste. C
Yonkers, NY 10704-1092

Mailing address

909 Midland Ave
Ste. C
Yonkers, NY 10704-1092
Phone (914) 969-0015

National Provider Directory

National Provider Directory

Locations

909 Midland Ave
Ste C
Yonkers, NY 10704
Phone (914) 969-0015

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184791238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE",
            "address_2": "STE. C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "914-969-0015",
            "fax_number": "914-709-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE",
            "address_2": "STE. C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "914-969-0015",
            "fax_number": "914-709-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "PRABHA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "914-969-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044502",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "043558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.