Organization Active NPI

MTN Tribeca Dental Care, P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1811034804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043629 Issued in NY
Legal business name
MTN TRIBECA DENTAL CARE, P.C.
Practice address
249 W Broadway Ste 2D
New York, NY 10013-2463
Phone
(212) 925-4000
Fax
(212) 925-4000
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mong Trinh Thi Nguyen, D.D.S.NPI 1275749707
Title
President
Phone
(212) 925-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043629 NY Primary

Addresses

Primary practice location

249 W Broadway Ste 2D
New York, NY 10013-2463

Mailing address

249 W Broadway Ste 2D
New York, NY 10013-2463
Phone (212) 925-4000

Other identifiers 1

IdentifierTypeStateIssuer
01282439MedicaidNY

National Provider Directory

National Provider Directory

Locations

249 W Broadway
Ste 2D
New York, NY 10013
Phone (212) 925-4000

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811034804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W BROADWAY STE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132463",
            "telephone_number": "212-925-4000",
            "fax_number": "212-925-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W BROADWAY STE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132463",
            "telephone_number": "212-925-4000",
            "fax_number": "212-925-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN TRIBECA DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MONG TRINH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-925-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.