Active NPI
Kiss Dental Care PLLC
- Periodontics
- Newburgh, NY
National Provider Identifier
1639655764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 048787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ung-Gin Yoon, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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 DirectoryLocations
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.