Organization Active NPI

Uptown Dental Group PLLC

Doing business as City Dental Group

  • Dentist
  • New York, NY
National Provider Identifier
1295489938
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UPTOWN DENTAL GROUP PLLC
Doing business as
City Dental Group
Practice address
11 Broadway Lbby 4
New York, NY 10004-1329
Phone
(212) 425-0505
NPI assigned
Feb 11, 2022
Last updated
Feb 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Authorized official

Name
Peter H Chen, DDS
Title
Partner
Phone
(212) 425-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

11 Broadway Lbby 4
New York, NY 10004-1329

Mailing address

11 Broadway Lbby 4
New York, NY 10004-1329
Phone (212) 425-0505

Other names 1

  • City Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

11 Broadway
Fl 4
New York, NY 10004
Phone (212) 425-0505

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1295489938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BROADWAY LBBY 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041329",
            "telephone_number": "212-425-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY LBBY 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041329",
            "telephone_number": "212-425-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-425-0505",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2022; 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.