Organization Active NPI

Concierge Dental Loft P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1487498358
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CONCIERGE DENTAL LOFT P.C.
Practice address
26 Broadway Ste 1303
New York, NY 10004-1822
Phone
(917) 868-1552
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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
Founder
Phone
(917) 868-1552

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

26 Broadway Ste 1303
New York, NY 10004-1822

Mailing address

350 W 71St St Apt 6a
New York, NY 10023-3596
Phone (215) 796-8347

Other names 1

  • Concierge Dental Design Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1487498358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 71ST ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233596",
            "telephone_number": "215-796-8347",
            "fax_number": "646-650-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROADWAY STE 1303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041822",
            "telephone_number": "917-868-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE DENTAL LOFT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOHAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-868-1552",
        "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": [
        {
            "organization_name": "Concierge Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 24, 2024; 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.