Organization Active NPI

Tribeca Dental

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1902079080
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051670-1 Issued in NY
Legal business name
TRIBECA DENTAL
Practice address
402 Broadway
LL
New York, NY 10013-3519
Phone
(212) 431-4582
Fax
(212) 431-4939
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Alla Dorfman, D.D.SNPI 1326124769
Title
President
Phone
(212) 431-4582

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 051670-1 NY Primary

Addresses

Primary practice location

402 Broadway
LL
New York, NY 10013-3519

Mailing address

402 Broadway
LL
New York, NY 10013-3519
Phone (212) 431-4582

National Provider Directory

National Provider Directory

Locations

402 Broadway
New York, NY 10013
Phone (212) 431-4582

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1902079080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BROADWAY",
            "address_2": "LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133519",
            "telephone_number": "212-431-4582",
            "fax_number": "212-431-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BROADWAY",
            "address_2": "LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133519",
            "telephone_number": "212-431-4582",
            "fax_number": "212-431-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBECA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-431-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051670-1",
            "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 Apr 9, 2008; 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.