Organization Active NPI

Medpro Development

Doing business as Metro Family Dental

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1508240573
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEDPRO DEVELOPMENT
Doing business as
Metro Family Dental
Practice address
251 W Kingsbridge Rd
Bronx, NY 10463-7308
Phone
(718) 884-7400
NPI assigned
Jul 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Authorized official

Name
Lauren Feinman
Title
Managing Director
Phone
(212) 595-8531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

251 W Kingsbridge Rd
Bronx, NY 10463-7308

Mailing address

3800 Independence Ave
#5E
Bronx, NY 10463-1433
Phone (212) 595-8531

Other names 1

  • Metro Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

251 W Kingsbridge Rd
Bronx, NY 10463
Phone (718) 884-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437264000000",
    "number": "1508240573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 INDEPENDENCE AVE",
            "address_2": "#5E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631433",
            "telephone_number": "212-595-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637308",
            "telephone_number": "718-884-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A",
        "authorized_official_last_name": "FEINMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "212-595-8531"
    },
    "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": "Metro Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; 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.