Imagine Smile Design Dental Arts PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

052329 Issued in NY

Legal business name

IMAGINE SMILE DESIGN DENTAL ARTS PLLC

Practice address

197 3Rd Ave
New York, NY 10003-2501

Phone

(212) 375-1740

Fax

(212) 375-1743

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Natasha Geen, DDSNPI 1669606133

Title

Owner

Phone

(212) 375-1740

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Imagine Smile Design Doing business as

Locations

Practitioners 2

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

• Natasha Geen, DDS

  • Dentist
  • New York, NY
  • NPI 1669606133
  NPD (past) Authorized official
• David Conrad Geen, D.D.S.

  • Dentist
  • New York, NY
  • NPI 1477674927
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1265791354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-375-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-375-1740",
            "fax_number": "212-375-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE SMILE DESIGN DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "GEEN",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-375-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052329",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477674927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669606133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imagine Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Im, PA-C
• Michelle Daeun Im, D.D.S.
• Soyoun Im, M.D.
• Timothy Im, PA-C
• Image Plastic Surgery LLC
• Allison Ann Imahiyerobo, NP
• Thomas Aghahowa Imahiyerobo Jr., M.D.
• Naohiko Imai, M.D.
• Rami Imam, MD
• Rami Imam, MD

• 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 May 9, 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.