NPIMap

Organization Active NPI

New York Midtown Dental, PC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1649800640
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEW YORK MIDTOWN DENTAL, PC
Practice address
1560 Broadway Ste 601
New York, NY 10036-2520
Phone
(212) 278-8105
Fax
(212) 278-8297
NPI assigned
Jan 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Authorized official

Name
Dr. Larisa Tkach, DDSNPI 1063623650
Title
Owner
Phone
(212) 278-8105

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1560 Broadway Ste 601
New York, NY 10036-2520

Mailing address

1560 Broadway Ste 601
New York, NY 10036-2520
Phone (212) 278-8105

National Provider Directory

National Provider Directory

Locations

1560 Broadway
Ste 601
New York, NY 10036
Phone (212) 278-8105

Practitioners & affiliated clinicians

Practitioners 4

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": "1579392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579392000000",
    "number": "1649800640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362520",
            "telephone_number": "212-278-8105",
            "fax_number": "212-278-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362520",
            "telephone_number": "212-278-8105",
            "fax_number": "212-278-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MIDTOWN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A",
        "authorized_official_last_name": "TKACH",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-278-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 19, 2020; 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.