Organization Active NPI

Woobury Pediatric Dentistry and Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbury, NY
National Provider Identifier
1679937387
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
046764 Issued in NY
Legal business name
WOOBURY PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice address
800 Woodbury Rd
Suite E
Woodbury, NY 11797-2503
Phone
(516) 921-0400
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Dr. Lisa Ritter-Kahn, DMD
Title
Pediatric Dentist
Phone
(516) 921-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 046764 NY Primary

Addresses

Primary practice location

800 Woodbury Rd
Suite E
Woodbury, NY 11797-2503

Mailing address

45 School LN
Lloyd Harbor, NY 11743-1039

National Provider Directory

National Provider Directory
Tax ID family
DRS Ritter-Kahn and Schildhaus DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Woodbury Rd
Ste E
Woodbury, NY 11797
Phone (516) 921-0400

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1679937387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SCHOOL LN",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117431039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "address_2": "SUITE E",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-921-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOBURY PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "RITTER-KAHN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "516-921-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.