Primary Care Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

044694-1 Issued in NY

Legal business name

PRIMARY CARE DENTAL PC

Practice address

99 Fieldstone Dr
Hartsdale, NY 10530-1564

Phone

(914) 997-8820

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey J. Kim, D.D.S.

Title

Owner

Phone

(914) 946-9098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1669764015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FIELDSTONE DR",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301564",
            "telephone_number": "914-997-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-946-9098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044694-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Pomerantz, LCSW
• Janine Marie Potter
• Jennifer Prado
• Preferred Psychiatric Associates of Westchester
• Premier Physical Therapy and Wellness of Katonah
• Nicholas Primavera
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Christina Prorokovic, SW
• R a Donelli

• Dentist in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.