Individual provider Active NPI

David Conrad Geen, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1477674927
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052250 Issued in NY
Practice address
197 3Rd Ave
New York, NY 10003-2501
Phone
(212) 375-1740
Fax
(212) 375-1743
NPI assigned
Apr 3, 2007
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052250 NY Primary

Addresses

Primary practice location

197 3Rd Ave
New York, NY 10003-2501

Mailing address

197 3Rd Ave
New York, NY 10003-2501
Phone (212) 375-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
052250NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Smile Design Dental Arts PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1477674927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-375-1740",
            "fax_number": "212-375-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032501",
            "telephone_number": "212-375-1740",
            "fax_number": "212-375-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEN",
        "first_name": "DAVID",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 22, 2011; 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.