Open Sesame Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

046685 Issued in NY

Legal business name

OPEN SESAME DENTISTRY LLC

Practice address

220 Riverside Blvd
Ny Dental
New York, NY 10069-1001

Phone

(212) 874-1200

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Grady, DDS

Title

Member

Phone

(212) 874-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1841475696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE BLVD",
            "address_2": "NY DENTAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100691001",
            "telephone_number": "212-874-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIVERSIDE BLVD",
            "address_2": "NY DENTAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100691001",
            "telephone_number": "212-874-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN SESAME DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-874-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "046685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mia Operta, OTR/L
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• Ophelia Medical Group Ny, P.C.

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.