Active NPI
Dental Primary Office Nyc PLLC
- Dental Anesthesiology
- New York, NY
National Provider Identifier
1730985813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Dental Anesthesiology
- New Milford, NJ
- NPI 1386123172
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.