KS Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50-055536 Issued in NY

Legal business name

KS DENTISTRY

Practice address

360 W 43Rd St Apt S6A
New York, NY 10036-6486

Phone

(917) 524-5622

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Jeremy Yoo, DDS

Title

President

Phone

(917) 524-5622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1669908620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 43RD ST APT S6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366486",
            "telephone_number": "917-524-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W 43RD ST APT S6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366486",
            "telephone_number": "917-524-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-524-5622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50-055536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03427369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viktor Krystufek, DIPL.OM, LAC.
• Lusine Krysztan, MS
• Halina Krzywonos, D.D.S
• Magdalena Krzyzewska, M.D.
• Anna Krzyzewski, FNP-BC
• Ksenija Belsley, MD, PLLC
• Lauren Ksido
• Lennox Reuben Ksido, MD
• KT Chiropractic Health PLLC
• Amy Wayne Ku, MD, PHD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.