Active NPI
Ivory Dental Care
- Dental Clinic/Center
- Yonkers, NY
National Provider Identifier
1336996750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- IVORY DENTAL CARE
- Practice address
- 436 S Broadway
Yonkers, NY 10705-2339 - Phone
- (914) 968-3330
- Fax
- (914) 457-3960
- NPI assigned
- May 2, 2024
- 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
- Prasannata Pradhan, DDS
- Title
- Dentist
- Phone
- (201) 640-1519
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
436 S Broadway
Yonkers, NY 10705-2339
Mailing address
436 S Broadway
Yonkers, NY 10705-2339
Phone (914) 968-3330
Other names 1
- Ivory Dental Care
National Provider Directory
National Provider DirectoryLocations
436 S Broadway
Yonkers, NY 10705
Phone (914) 968-3330
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Jersey City, NJ
- NPI 1124544325
-
- Dentist
- Yonkers, NY
- NPI 1477870004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1336996750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052339",
"telephone_number": "914-968-3330",
"fax_number": "914-457-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052339",
"telephone_number": "914-968-3330",
"fax_number": "914-457-3960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVORY DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "PRADHAN",
"authorized_official_first_name": "PRASANNATA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "201-640-1519",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ivory Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.