Individual provider Active NPI

Cynthia Co Ting Keh, D.D.S.

  • Dentist
  • New York, NY
National Provider Identifier
1750765103
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058645-1 Issued in NY
Practice address
217 Grand St Ste 801
New York, NY 10013-4396
Phone
(323) 868-5708
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 058645-1 NY Primary

Addresses

Primary practice location

217 Grand St Ste 801
New York, NY 10013-4396

Mailing address

747 10TH Ave
Apt 32D
New York, NY 10019-7004
Phone (323) 868-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626002169 NY Order and Referring Only - Other (Non-Physician) 9638447121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058645-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harold D Weiss DDS PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1750765103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 10TH AVE",
            "address_2": "APT 32D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100197004",
            "telephone_number": "323-868-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRAND ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134396",
            "telephone_number": "323-868-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO TING KEH",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.