MBP Orthodontics

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

050010-1 Issued in NY

Legal business name

MBP ORTHODONTICS

Practice address

42 Sherwood PL
Greenwich, CT 06830-5638

Phone

(203) 900-1111

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bina Park

Title

Owner

Phone

(212) 369-2462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1790217933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SHERWOOD PLACE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "06830",
            "telephone_number": "203-900-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SHERWOOD PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305638",
            "telephone_number": "203-900-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBP ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-369-2462",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "050010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Mata
• Mahan Mathur, M.D.
• Alexandra Rose Matthews, M.A., CCC-SLP, TSSLD
• Alex May
• Marcus Mayus, M.D.
• Clarena Lopez McBeth, LMHC, CASAC, LPC
• Matthew Wells McConnell, MD
• Julie Christine McCullough, APRN, FNP-BC
• Amber Eboni Fatima McDonald, PA
• Jessica Hurley McGovern, MS, CCC-SLP

• Point of Service in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Point of Service in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.