NPIMap

Organization Active NPI

Elim Dental PC

  • General Practice Dentistry
  • Mount Kisco, NY
National Provider Identifier
1689036634
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELIM DENTAL PC
Practice address
359 E Main St
Suite#2E
Mount Kisco, NY 10549-3028
Phone
(914) 242-3906
Fax
(914) 242-8794
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Jin Sub Oh, D.M.D.NPI 1194101527
Title
President
Phone
(781) 330-3209

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

359 E Main St
Suite#2E
Mount Kisco, NY 10549-3028

Mailing address

359 E Main St
Suite#2E
Mount Kisco, NY 10549-3028
Phone (914) 242-3906

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1689036634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE#2E",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-242-3906",
            "fax_number": "914-242-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE#2E",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-242-3906",
            "fax_number": "914-242-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JIN SUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-330-3209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.