Organization Active NPI

Open Bright Pediatric Dentistry P.C.

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1568702041
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
052837 Issued in NY
Legal business name
OPEN BRIGHT PEDIATRIC DENTISTRY P.C.
Practice address
131 W 110TH St Apt 1B
New York, NY 10026-4205
Phone
(347) 292-1757
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Laurence Hyacinthe, D.M.D.NPI 1346438561
Title
President
Phone
(347) 292-1757

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
Pediatric Dentistry 1223P0221X 052837 NY Primary

Addresses

Primary practice location

131 W 110TH St Apt 1B
New York, NY 10026-4205

Mailing address

2266 5TH Ave Unit 1695
New York, NY 10037-9464
Phone (347) 292-1757

Other identifiers 1

IdentifierTypeStateIssuer
03275569MedicaidNY

National Provider Directory

National Provider Directory

Locations

131 W 110th St
Apt 1B
New York, NY 10026
Phone (212) 678-1944

2266 5th Ave
Unit 1695
New York, NY 10037

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": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1568702041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 5TH AVE UNIT 1695",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100379464",
            "telephone_number": "347-292-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 110TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264205",
            "telephone_number": "347-292-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN BRIGHT PEDIATRIC DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "HYACINTHE",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-292-1757",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03275569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2013; 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.