Concourse West Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

050404 Issued in NY

Legal business name

CONCOURSE WEST DENTAL PLLC

Practice address

880 River Avenue
Bronx, NY 10452

Phone

(718) 992-0410

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Magid, DMDNPI 1902989858

Title

Manager

Phone

(718) 992-0410

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David K Magid, DMD

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1902989858
  Authorized official Same address or phone

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1902147911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 RIVER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 RIVER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-992-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE WEST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MAGID",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-992-0410",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concourse Plaza Dental Associates PC
• Concourse Plaza Family Dental LLC
• Concourse Rehab & Nursing Ctr Inc.
• Concourse Replacement LLC (Grand Concourse Dialysis Facility)
• Concourse Village Primary Care PLLC
• Concourse West Management Inc
• Maria Conde-Rojas
• Loismarie Dangazo Condeza
• Nana Condua
• Daisy Ewurakua Conduah, M.D.

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.