Park Dental Loft P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PARK DENTAL LOFT P.C.

Practice address

30 E 40TH St RM 502
New York, NY 10016-1243

Phone

(215) 796-8347

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Yohan Kim, DMDNPI 1831403385

Title

President

Phone

(215) 796-8347

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yohan Kim, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1831403385
  NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1457033276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161243",
            "telephone_number": "215-796-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161243",
            "telephone_number": "215-796-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL LOFT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-796-8347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Park Avenue Surgical PLLC
• Park Avenue Total Medical Care
• Park East Ambulatory Surg Unit PC
• Park East Cardiology Associates, PC
• Park East Dental Associates
• Park East Endocrinology PC
• Park East Gynecology & Surgery PC

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Aug 1, 2023; 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.