Organization Active NPI

Concourse Plaza Dental Associates PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1245402254
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029527 Issued in NY
Legal business name
CONCOURSE PLAZA DENTAL ASSOCIATES PC
Practice address
230 E 161St St
Concourse Plaza Shopping Center
Bronx, NY 10451-3546
Phone
(718) 992-8200
Fax
(718) 537-4169
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Steven D Kantor, DDS
Title
Owner
Phone
(718) 992-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 029527 NY Primary

Addresses

Primary practice location

230 E 161St St
Concourse Plaza Shopping Center
Bronx, NY 10451-3546

Mailing address

230 E 161St St
Concourse Plaza Shopping Center
Bronx, NY 10451-3546
Phone (718) 992-8200

National Provider Directory

National Provider Directory

Locations

230 E 161st St
Bronx, NY 10451
Phone (718) 992-8200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1245402254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 161ST ST",
            "address_2": "CONCOURSE PLAZA SHOPPING CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513546",
            "telephone_number": "718-992-8200",
            "fax_number": "718-537-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 161ST ST",
            "address_2": "CONCOURSE PLAZA SHOPPING CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513546",
            "telephone_number": "718-992-8200",
            "fax_number": "718-537-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE PLAZA DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-992-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.