Organization Active NPI

Ivory Dental Care

  • Dental Clinic/Center
  • Yonkers, NY
National Provider Identifier
1336996750
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on May 2, 2024

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

Authorized official

Name
Prasannata Pradhan, DDSNPI 1124544325
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.