Kupchik Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055641-1 Issued in NY

Legal business name

KUPCHIK DENTAL, PLLC

Practice address

2 Medical Park Dr
Suite 16
West Nyack, NY 10994-1965

Phone

(213) 479-9547

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Anna Kupchik, DDS

Title

Dentist

Phone

(213) 479-9547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1407112261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 16",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 16",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941965",
            "telephone_number": "213-479-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUPCHIK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "KUPCHIK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-479-9547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Krauchuk, FNP
• Genevieve Margaret Krebs, M.D.
• Krishna Dental Care PC
• Richard Kroll, MD
• Ziad Nabil Kronfol, M.D.
• Roshen Kuriakose
• Susan Mathew Kurien, RPH
• Ian R Laidlaw, LCSW-R
• Lisa Landau
• Elizabeth Ann Lanter

• General Practice Dentistry in West Nyack, NY
• Providers in West Nyack, 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 Apr 5, 2012; 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.