Active NPI
City Dental Service Provider, PLLC
- Pediatric Dentistry
- Scarsdale, NY
National Provider Identifier
1316888670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CITY DENTAL SERVICE PROVIDER, PLLC
- Practice address
- 777 White Plains Rd
Scarsdale, NY 10583-5000 - Phone
- (914) 472-9090
- NPI assigned
- Apr 2, 2026
- Last updated
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte V Dasch
- Title
- Sr. Director of Credentialing & PR
- Phone
- (504) 638-0303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU |
Addresses
Primary practice location
777 White Plains Rd
Scarsdale, NY 10583-5000
Mailing address
1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759
National Provider Directory
National Provider Directory- Tax ID family
- City Dental Service Provider PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Scarsdale, NY
- NPI 1003757204
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pediatric Dentistry
- Scarsdale, NY
- NPI 1003757204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1316888670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 54TH AVE N STE 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091442",
"telephone_number": "615-678-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835000",
"telephone_number": "914-472-9090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY DENTAL SERVICE PROVIDER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "DASCH",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "SR. DIRECTOR OF CREDENTIALING & PR",
"authorized_official_telephone_number": "504-638-0303"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.