Kind-Ron So, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59614 Issued in NY

Practice address

2202 Grand Concourse
Bronx, NY 10457-2000

Phone

(718) 365-6389

NPI assigned

Mar 14, 2016

Reactivated

Nov 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1366803728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572000",
            "telephone_number": "718-365-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "KIND-RON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2018-10-09",
        "deactivation_date": "2016-10-21",
        "reactivation_date": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "59614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Brandon Snyder, A.T.C.
• Robert S. Snyder, D.P.M.
• Yael Snyder
• Sheila So-Lee
• Andrew David So, M.D.
• Tak Yuen So, M.D.
• Tracy So
• Yonson So, DMD
• Soab Medical, P.C.
• Leonard Soai-Van

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, 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 Oct 9, 2018; 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.