Organization Active NPI

Kips Bay Dental Practice, P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1922291293
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
022123 Issued in NY
Legal business name
KIPS BAY DENTAL PRACTICE, P.C.
Practice address
614 2ND Ave Ste D
New York, NY 10016-4889
Phone
(212) 725-2020
Fax
(212) 251-0002
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Dr. Arthur Zuckerman, D.D.S.
Title
Dentist
Phone
(212) 725-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 022123 NY Primary

Addresses

Primary practice location

614 2ND Ave Ste D
New York, NY 10016-4889

Mailing address

614 2ND Ave Ste D
New York, NY 10016-4889

National Provider Directory

National Provider Directory

Locations

614 2nd Ave
Ste D
New York, NY 10016
Phone (212) 725-2020

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": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1922291293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 2ND AVE STE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 2ND AVE STE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164889",
            "telephone_number": "212-725-2020",
            "fax_number": "212-251-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPS BAY DENTAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-725-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "022123",
            "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 Aug 21, 2007; 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.