Organization Active NPI

Kiss Dental Care PLLC

  • Periodontics
  • Newburgh, NY
National Provider Identifier
1639655764
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
048787 Issued in NY
Legal business name
KISS DENTAL CARE PLLC
Practice address
425 Robinson Ave Ste 4
Newburgh, NY 12550-3303
Phone
(845) 561-2213
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Ung-Gin Yoon, DDSNPI 1962619551
Title
Manager/Member
Phone
(845) 561-2213

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
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 048787 NY Primary

Addresses

Primary practice location

425 Robinson Ave Ste 4
Newburgh, NY 12550-3303

Mailing address

425 Robinson Ave Ste 4
Newburgh, NY 12550-3303
Phone (845) 561-2213

National Provider Directory

National Provider Directory

Locations

425 Robinson Ave
Ste 4
Newburgh, NY 12550
Phone (845) 561-2213

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1639655764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROBINSON AVE STE 4",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503303",
            "telephone_number": "845-561-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROBINSON AVE STE 4",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503303",
            "telephone_number": "845-561-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISS DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "UNG-GIN",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "845-561-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "048787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.