NPIMap

Organization Active NPI

Concerned Dental Care, PC

  • Dentist
  • South Richmond Hill, NY
National Provider Identifier
1699818997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
032077-1 Issued in NY
Legal business name
CONCERNED DENTAL CARE, PC
Practice address
11901 Liberty Ave
South Richmond Hill, NY 11419-2001
Phone
(718) 843-1616
Fax
(718) 323-2219
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Harvey Rubin, DDS
Title
Dentist
Phone
(718) 843-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 032077-1 NY Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 031972-3 NY

Addresses

Primary practice location

11901 Liberty Ave
South Richmond Hill, NY 11419-2001

Mailing address

11901 Liberty Ave
South Richmond Hill, NY 11419-2001
Phone (718) 843-1616

National Provider Directory

National Provider Directory
Tax ID family
Concerned Dental Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699818997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192001",
            "telephone_number": "718-843-1616",
            "fax_number": "718-323-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192001",
            "telephone_number": "718-843-1616",
            "fax_number": "718-323-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-843-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "032077-1",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "031972-3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.