Organization Active NPI

Cute Pearls Dental Care PC

  • Preferred Provider Organization
  • Bronx, NY
National Provider Identifier
1902228158
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
055155 Issued in NY
Legal business name
CUTE PEARLS DENTAL CARE PC
Practice address
1749 Grand Concourse
Suite 1E
Bronx, NY 10453-8241
Phone
(718) 466-2222
Fax
(718) 466-6555
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Victor Alexey Robinson, DDS
Title
Owner
Phone
(516) 312-7690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 055155 NY Primary

Addresses

Primary practice location

1749 Grand Concourse
Suite 1E
Bronx, NY 10453-8241

Mailing address

1749 Grand Concourse
Suite 1E
Bronx, NY 10453-8241
Phone (718) 466-2222

Other identifiers 1

IdentifierTypeStateIssuer
03249378MedicaidNY

National Provider Directory

National Provider Directory

Locations

1749 Grand Concourse
Apt 1E
Bronx, NY 10453
Phone (718) 466-2222

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1902228158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 GRAND CONCOURSE",
            "address_2": "SUITE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538241",
            "telephone_number": "718-466-2222",
            "fax_number": "718-466-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 GRAND CONCOURSE",
            "address_2": "SUITE 1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104538241",
            "telephone_number": "718-466-2222",
            "fax_number": "718-466-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTE PEARLS DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ALEXEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-312-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "055155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03249378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.