Organization Active NPI

Dental Primary Office Nyc PLLC

  • Dental Anesthesiology
  • New York, NY
National Provider Identifier
1730985813
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
DENTAL PRIMARY OFFICE NYC PLLC
Practice address
19 W 44TH St
New York, NY 10036-5902
Phone
(164) 684-9699
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Konstantina Giesberg
Title
Authorised Official
Phone
(164) 664-7909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Dental Assistant 126800000X NU
Dental Anesthesiology 1223D0004X NU Primary

Addresses

Primary practice location

19 W 44TH St
New York, NY 10036-5902

Mailing address

28 Liberty St
New York, NY 10005-1400
Phone (016) 468-4969

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1730985813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LIBERTY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051400",
            "telephone_number": "016-468-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 44TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365902",
            "telephone_number": "164-684-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRIMARY OFFICE NYC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "GIESBERG",
        "authorized_official_first_name": "KONSTANTINA",
        "authorized_official_title_or_position": "AUTHORISED OFFICIAL",
        "authorized_official_telephone_number": "164-664-7909"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.