Active NPI
Park Sixty Dental PC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1790515237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PARK SIXTY DENTAL PC
- Practice address
- 110 E 60TH St RM 902
New York, NY 10022-1794 - Phone
- (212) 804-7197
- Fax
- (929) 474-6554
- NPI assigned
- Aug 7, 2024
- Last updated
- Aug 7, 2024
- 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
- Neil McGrath
- Title
- Billing Coordinator
- Phone
- (212) 804-7197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
110 E 60TH St RM 902
New York, NY 10022-1794
Mailing address
110 E 60TH St RM 902
New York, NY 10022-1794
Phone (212) 804-7197
National Provider Directory
National Provider DirectoryLocations
110 E 60th St
Rm 902
New York, NY 10022
Phone (212) 804-7197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1790515237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 60TH ST RM 902",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221794",
"telephone_number": "212-804-7197",
"fax_number": "929-474-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 60TH ST RM 902",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221794",
"telephone_number": "212-804-7197",
"fax_number": "929-474-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK SIXTY DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "MCGRATH",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "212-804-7197"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Park Place Medical Imaging P.C.
- Park Place Podiatry PLLC
- Park Podiatry, P.C.
- Park Psychological Services, P.C.
- Park Psychology PLLC
- Park Sleep Vip & Wellness LLC
- Park Smiles Dental PLLC Dba Park Smiles Nyc
- Park Smiles Dental PLLC Dba Park Smiles West
- Park South Physical Therapy Group PC
- Park South Podiatry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.