Crown Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

051024-1 Issued in NY

Legal business name

CROWN DENTAL, PLLC

Practice address

604 Castle Hill Ave
Bronx, NY 10473-1402

Phone

(718) 239-6929

Fax

(718) 239-8602

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Heejoon Kwak, DDS

Title

Dentist

Phone

(718) 239-6929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1467708958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731402",
            "telephone_number": "718-239-6929",
            "fax_number": "718-239-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731402",
            "telephone_number": "718-239-6929",
            "fax_number": "718-239-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "HEEJOON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-239-6929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051024-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crotona Parkway ASC, LLC
• Crotona Pharmacy Corp
• Sabrina Nichole Crouch, PSY.D.
• Donna Crowe, LMSW
• Margaret Crowell, OTR/L
• Luisa Mercedes Cruel
• Halsey Cruickshank, PHYSICIAN ASSISTANT
• Keith Cruise, PHD, MLS
• Omodelle Fitzherbert Crum-Ewing, RN (BSN)
• Claudia Crusco, LMSW

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.