Grand Central Dental of Manhattan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48213 Issued in NY

Legal business name

GRAND CENTRAL DENTAL OF MANHATTAN

Practice address

420 Lexington Ave RM 228
New York, NY 10170-0299

Phone

(212) 682-1488

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. KH George Lee, DDS

Title

Officer

Phone

(917) 670-1617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285836106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LEXINGTON AVE RM 228",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101700299",
            "telephone_number": "212-682-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LEXINGTON AVE RM 228",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101700299",
            "telephone_number": "212-682-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CENTRAL DENTAL OF MANHATTAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KH GEORGE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "917-670-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "48213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Granat
• Natasa Grancaric, M.D.
• Megan Granchelli, DNP
• Grand Central Acupuncture Wellness PC
• Grand Central Chiropractice & Physical Therapy PLLC
• Grand Central Hand Therapy Center
• Grand Central Medical P.C.
• Grand Central Medical Services PLLC
• Grand Central Optical Co Inc
• Grand Central Physical Medicine&Rehabilitation PC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.