Active NPI
Kimberli Leal DDS PC
- Dental Clinic/Center
- New York, NY
National Provider Identifier
1922894187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KIMBERLI LEAL DDS PC
- Practice address
- 425 Grand St Lbby 1
New York, NY 10002-4700 - Phone
- (646) 902-5439
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberli Leal
- Title
- Owner
- Phone
- (973) 583-4043
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
425 Grand St Lbby 1
New York, NY 10002-4700
Mailing address
425 Grand St Lbby 1
New York, NY 10002-4700
Phone (646) 902-5439
Other names 1
- Kidz Smile Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
425 Grand St
Lbby 1
New York, NY 10002
Phone (646) 902-5439
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.
-
- Pediatric Dentistry
- New York, NY
- NPI 1083039234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1922894187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 GRAND ST LBBY 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024700",
"telephone_number": "646-902-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 GRAND ST LBBY 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024700",
"telephone_number": "646-902-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLI LEAL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "LEAL",
"authorized_official_first_name": "KIMBERLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-583-4043"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kidz Smile Pediatric Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.