Organization Active NPI

Little Grins Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1386300390
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE GRINS PEDIATRIC DENTISTRY PLLC
Practice address
160 E 88TH St Apt 1D
New York, NY 10128-2217
Phone
(917) 979-6579
NPI assigned
Nov 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Authorized official

Name
Dr. Liel Grinbaum, DMDNPI 1861751224
Title
Owner
Phone
(516) 680-6915

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

160 E 88TH St Apt 1D
New York, NY 10128-2217

Mailing address

160 E 88TH St Apt 1D
New York, NY 10128-2217
Phone (917) 979-6579

Other identifiers 1

IdentifierTypeStateIssuer
186-175-1224OtherNYNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL littlegrins.org

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1386300390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "917-979-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "917-979-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE GRINS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "GRINBAUM",
        "authorized_official_first_name": "LIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-680-6915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "186-175-1224",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "littlegrins.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 E 88th St Apt 1D",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "101282217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 14, 2021; 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.