Organization Active NPI

Manhattan Dental Studio

  • General Practice Dentistry
  • Ny, NY
National Provider Identifier
1760905954
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANHATTAN DENTAL STUDIO
Practice address
358 Fifth Ave
Suite 1005
Ny, NY 10001
Phone
(212) 685-2476
Fax
(212) 947-2826
NPI assigned
Jul 20, 2017
Last updated
Aug 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Gary Tomack
Title
Owner
Phone
(212) 685-2476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NY Primary

Addresses

Primary practice location

358 Fifth Ave
Suite 1005
Ny, NY 10001

Mailing address

358 5TH Ave RM 1005
New York, NY 10001-2209
Phone (212) 685-2476

National Provider Directory

National Provider Directory

Locations

358 5th Ave
Rm 1005
New York, NY 10001
Phone (212) 685-2476

Practitioners & affiliated clinicians

Practitioners 2

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1760905954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 5TH AVE RM 1005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012209",
            "telephone_number": "212-685-2476",
            "fax_number": "212-947-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 FIFTH AVE",
            "address_2": "SUITE 1005",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-685-2476",
            "fax_number": "212-947-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "TOMACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-685-2476"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.