Organization Active NPI

Glenwood Dental Care PLLC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1740639574
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GLENWOOD DENTAL CARE PLLC
Practice address
1569 Ralph Ave
Brooklyn, NY 11236-3127
Phone
(718) 251-7167
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. David Cho, DDS
Title
Dentist
Phone
(917) 670-5238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1569 Ralph Ave
Brooklyn, NY 11236-3127

Mailing address

1569 Ralph Ave
Brooklyn, NY 11236-3127
Phone (718) 251-7167

National Provider Directory

National Provider Directory

Locations

1569 Ralph Ave
Brooklyn, NY 11236
Phone (718) 251-7167

Practitioners & affiliated clinicians

Practitioners 2

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1740639574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363127",
            "telephone_number": "718-251-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363127",
            "telephone_number": "718-251-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-670-5238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.