Organization Active NPI

Kingston Dental PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1487826665
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049610 Issued in NY
Legal business name
KINGSTON DENTAL PC
Practice address
8618 25TH Ave
Brooklyn, NY 11214-4434
Phone
(718) 676-7778
Fax
(718) 676-7686
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Kenny Ho, DDS
Title
Owner
Phone
(718) 676-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049610 NY Primary

Addresses

Primary practice location

8618 25TH Ave
Brooklyn, NY 11214-4434

Mailing address

8618 25TH Ave
Brooklyn, NY 11214-4434
Phone (718) 676-7778

Other identifiers 1

IdentifierTypeStateIssuer
02320661MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1487826665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 25TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144434",
            "telephone_number": "718-676-7778",
            "fax_number": "718-676-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 25TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144434",
            "telephone_number": "718-676-7778",
            "fax_number": "718-676-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-676-7778",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02320661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.