3CK Dentist, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

043368 Issued in NY

Legal business name

3CK DENTIST, PLLC

Practice address

139 Centre St
Suite 316
New York, NY 10013-4552

Phone

(212) 941-0088

Fax

(212) 941-0188

NPI assigned

Apr 6, 2014

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muna Nasreen Khan, DDSNPI 1710040217

Title

Director

Phone

(212) 941-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muna Nasreen Khan, DDS

  • Dentist
  • New York, NY
  • NPI 1710040217
  NPD Authorized official

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1205254273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 316",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-941-0088",
            "fax_number": "212-941-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 316",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-941-0088",
            "fax_number": "212-941-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3CK DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUNA",
        "authorized_official_middle_name": "NASREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-941-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "043368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03049805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.