Manhattan Pediatric Dental Group, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MANHATTAN PEDIATRIC DENTAL GROUP, PC

Practice address

192 E 75TH St
New York, NY 10021-3242

Phone

(212) 570-2221

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Erica Quinteros

Title

Credentialing

Phone

(724) 901-1964

Specialties & licenses 2

Addresses

Other names 1

• Smiles4Kids Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Charles Adler, DMD

  • Pediatric Dentistry
  • New York, NY
  • NPI 1669512851
  NPD (past)
• Mark S Hochberg, DMD

  • Pediatric Dentistry
  • New York, NY
  • NPI 1033260690
  NPD (past)

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1558060293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213242",
            "telephone_number": "212-570-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PEDIATRIC DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "QUINTEROS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "724-901-1964"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles4Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manhattan Pain Medicine Provider, LLC
• Manhattan Pain Medicine, PLLC
• Manhattan Park Dental, PLLC
• Manhattan Path Lab, LLC
• Manhattan PC
• Manhattan Pediatrics Associates
• Manhattan Pediatrics, PC
• Manhattan Periodontics PC
• Manhattan Physical Medicine & Rehabilitation, PLLC
• Manhattan Physical Therapy and Acupuncture PLLC

• 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 Aug 1, 2023; 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.