Tribeca Dental Studio

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

051839-1 Issued in NY

Legal business name

TRIBECA DENTAL STUDIO

Doing business as

Tribeca Dental Studio for Kids

Practice address

54 Warren Street
Tribeca Dental Studio
Nyc, NY 10007

Phone

(212) 561-5303

Fax

(646) 652-8190

NPI assigned

May 14, 2009

Last updated

May 14, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

TRIBECA DENTAL STUDIOAs reported in NPPES

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

Authorized official

Name

Inna Kriman

Title

Billier

Phone

(212) 561-5303

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Tribeca Dental Studio for Kids Doing business as

Part of

Tribeca Dental Studio

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1871727131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WARREN ST",
            "address_2": "TRIBECA DENTAL STUDIO",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-561-5303",
            "fax_number": "646-652-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WARREN STREET",
            "address_2": "TRIBECA DENTAL STUDIO",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-561-5303",
            "fax_number": "646-652-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA DENTAL STUDIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIBECA DENTAL  STUDIO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "KRIMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "BILLIER",
        "authorized_official_telephone_number": "212-561-5303"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NY",
            "license": "051839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHODONTIST",
            "identifier": "1376782748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDODONTIST",
            "identifier": "1861641698",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORAL SURGEON",
            "identifier": "1093976292",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDODONTIST",
            "identifier": "1144410010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTIST",
            "identifier": "1821127580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDODONTIST",
            "identifier": "184443200-",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHODONTIST",
            "identifier": "045045",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTIST",
            "identifier": "1477614162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tribeca Dental Studio for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilien Socorro, MD
• Hank Abe Stebel
• David Charles Tannenbaum, LCSW
• Olga V Themo, DDS
• Sharyn Smith Tondel, RN,NP-C
• Underneath It All Inc
• Douglas J Van Der Heide
• Ania Wajnberg, MD
• George Weingarten, MD
• Rebecca Jo White, RN, PNP

• Public Health Dentistry in Nyc, NY
• Providers in Nyc, NY by specialty
• Public Health Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.