Individual provider Active NPI

Karin Grinbaum, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1841544913
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
056434-1 Issued in NY
Practice address
160 E 88TH St Apt 1D
New York, NY 10128-2217
Phone
(212) 777-6177
Fax
(212) 560-5444
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 056434-1 NY Primary

Addresses

Primary practice location

160 E 88TH St Apt 1D
New York, NY 10128-2217

Mailing address

160 E 88TH St Apt 1D
New York, NY 10128-2217
Phone (212) 777-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056434-1NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles and Grins Pediatric Dentistry CurrentSince May 1, 2024 Accepting new patients
Smile Spot Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 13, 2024 Accepting new patients

Locations

14 Thiells Mount Ivy Rd
Ste 103
Pomona, NY 10970
Phone (845) 400-2479

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1841544913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "212-777-6177",
            "fax_number": "212-560-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 88TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282217",
            "telephone_number": "212-777-6177",
            "fax_number": "212-560-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINBAUM",
        "first_name": "KARIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056434-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 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.

Verify at the official NPI Registry.