Organization Active NPI

Columbus Park Dental

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1194506196
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLUMBUS PARK DENTAL
Practice address
40 W 72ND St Ste B
New York, NY 10023-4195
Phone
(917) 580-7360
Fax
(917) 580-7334
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ashley Falla
Title
Operational Manager
Phone
(917) 580-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

40 W 72ND St Ste B
New York, NY 10023-4195

Mailing address

40 W 72ND St Ste B
New York, NY 10023-4195
Phone (917) 580-7360

National Provider Directory

National Provider Directory

Locations

40 W 72nd St
Ste B
New York, NY 10023
Phone (212) 496-1382

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1194506196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 72ND ST STE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234195",
            "telephone_number": "917-580-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 72ND ST STE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234195",
            "telephone_number": "917-580-7360",
            "fax_number": "917-580-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FALLA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "917-580-7360"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 6, 2023; 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.