28TH and Madison LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

28TH AND MADISON LLC

Practice address

76 Madison Ave
New York, NY 10016-8724

Phone

(646) 770-2091

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Audra Schiefelbeiin, DMD

Title

Owner

Phone

(646) 770-2091

Specialties & licenses 1

Addresses

Other names 1

• Smile Pop Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Audra Schiefelbein, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
  • NPI 1144518911
  NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1194332932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 18TH ST APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114554",
            "telephone_number": "708-307-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168724",
            "telephone_number": "646-770-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "28TH AND MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SCHIEFELBEIIN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-770-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Pop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in New York, NY
• Providers in New York, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.