West Side Kids Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

052974-1 Issued in NY

Legal business name

WEST SIDE KIDS DENTAL, PC

Practice address

107 W 86TH St
1 B
New York, NY 10024-3409

Phone

(212) 877-2163

Fax

(212) 877-2133

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Neal Goldsmith, DMD

Title

President

Phone

(212) 877-2163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1669799714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 86TH ST",
            "address_2": "1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243409",
            "telephone_number": "212-877-2163",
            "fax_number": "212-877-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 86TH ST",
            "address_2": "1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243409",
            "telephone_number": "212-877-2163",
            "fax_number": "212-877-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE KIDS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-877-2163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052974-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.