NPIMap

Organization Active NPI

MK Dental L.I. P.C.

Doing business as East Hampton Dental Group

  • General Practice Dentistry
  • East Hampton, NY
National Provider Identifier
1932530466
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050259 Issued in NY
Legal business name
MK DENTAL L.I. P.C.
Doing business as
East Hampton Dental Group
Practice address
56 The Cir
East Hampton, NY 11937-2725
Phone
(631) 324-6800
Fax
(631) 324-7744
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. David A. Mambrino, D.D.S.NPI 1548504657
Title
Owner
Phone
(631) 324-6800

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 050259 NY Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 051152 NY
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 037803 NY
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 053027 NY

Addresses

Primary practice location

56 The Cir
East Hampton, NY 11937-2725

Mailing address

56 The Cir
East Hampton, NY 11937-2725
Phone (631) 324-6800

Other names 1

  • East Hampton Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

56 The Cir
East Hampton, NY 11937
Phone (631) 324-6800

Practitioners & affiliated clinicians

Practitioners 2

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": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1932530466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THE CIR",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372725",
            "telephone_number": "631-324-6800",
            "fax_number": "631-324-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THE CIR",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372725",
            "telephone_number": "631-324-6800",
            "fax_number": "631-324-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK DENTAL L.I. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MAMBRINO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-324-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050259",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051152",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037803",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hampton Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.