Organization Active NPI

Pros903

  • Prosthodontics
  • New York, NY
National Provider Identifier
1235480518
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
PROS903
Practice address
30 E 60TH St
Suite 903
New York, NY 10022-1008
Phone
(212) 935-8700
Fax
(212) 935-8702
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Dr. Marla C King, DDSNPI 1083040471
Title
Owner
Phone
(212) 935-8700

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
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

30 E 60TH St
Suite 903
New York, NY 10022-1008

Mailing address

30 E 60TH St
Suite 903
New York, NY 10022-1008
Phone (212) 935-8700

National Provider Directory

National Provider Directory

Locations

30 E 60th St
Ste 903
New York, NY 10022
Phone (212) 319-8787

Practitioners & affiliated clinicians

Practitioners 1

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": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1235480518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008",
            "telephone_number": "212-935-8700",
            "fax_number": "212-935-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008",
            "telephone_number": "212-935-8700",
            "fax_number": "212-935-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROS903",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-935-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "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 Sep 26, 2012; 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.