Organization Active NPI

American Dental Arts

  • Dentist
  • New York, NY
National Provider Identifier
1841486669
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0453491 Issued in NY
Legal business name
AMERICAN DENTAL ARTS
Practice address
420 W 23Rd St # 1F
New York, NY 10011-2172
Phone
(212) 929-9200
NPI assigned
Sep 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Elizabeth Polin, DDSNPI 1437271467
Title
Doctor
Phone
(212) 929-9200

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 0453491 NY Primary

Addresses

Primary practice location

420 W 23Rd St # 1F
New York, NY 10011-2172

Mailing address

281 Corbin PL
Brooklyn, NY 11235-4901
Phone (212) 929-9200

Other identifiers 1

IdentifierTypeStateIssuer
01485125MedicaidNY

National Provider Directory

National Provider Directory

Locations

420 W 23rd St
Ph 1F
New York, NY 10011
Phone (212) 929-9200

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": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1841486669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 CORBIN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354901",
            "telephone_number": "212-929-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 23RD ST # 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112172",
            "telephone_number": "212-929-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "POLIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-929-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0453491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485125",
            "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 Sep 21, 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.