East Side Pediatric Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

EAST SIDE PEDIATRIC DENTAL

Practice address

133 East 58TH Street
Suite 402
New York, NY 10022-1157

Phone

(212) 965-8113

Fax

(212) 965-8114

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Loo Marn, DDSNPI 1033221759

Title

Pediatric Dentist/President

Phone

(212) 965-8113

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jessica Loo Marn, DDS

  • Pediatric Dentistry
  • New York, NY
  • NPI 1033221759
  Authorized official Same address or phone
• Maria Karla Basa, DDS

  • Pediatric Dentistry
  • Placentia, CA
  • NPI 1427480979
  NPD (past)
• Alina O'Brien, DDS

  • Pediatric Dentistry
  • Philadelphia, PA
  • NPI 1104359793
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1538539986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT STREET",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135575",
            "telephone_number": "212-965-8113",
            "fax_number": "212-965-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EAST 58TH STREET",
            "address_2": "SUITE 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221157",
            "telephone_number": "212-965-8113",
            "fax_number": "212-965-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MARN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LOO",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "212-965-8113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Side Medical & Cardiovascular Associates, P.C.
• East Side Medical and Diagnostics Services, PC
• East Side Medical Radiology PLLC
• East Side Medical, P.C.
• East Side Oncology Associates PLLC Dba American Infusion Center (American Infusion Center)
• East Side Pharmacy, Inc (Eastview Pharmacy)
• East Side Podiatric Surgical Suite P.C.
• East Side Primary Medical Care, P.C.
• East Side Psychiatric Services, PC
• East Side Smile Solutions Dentistry PC (East Side Smile Solutions)

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.