Organization Active NPI

Lumia Dental, PLLC

  • Dentist
  • New York, NY
National Provider Identifier
1952950123
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUMIA DENTAL, PLLC
Practice address
160 Broadway RM 1004
New York, NY 10038-4213
Phone
(212) 287-1275
Fax
(212) 287-1274
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Dr. Mee Kyung Han, DMDNPI 1124349840
Title
President
Phone
(212) 287-1275

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

160 Broadway RM 1004
New York, NY 10038-4213

Mailing address

160 Broadway RM 1004
New York, NY 10038-4213
Phone (212) 287-1275

National Provider Directory

National Provider Directory

Locations

160 Broadway
Rm 1004
New York, NY 10038
Phone (212) 287-1275

Practitioners & affiliated clinicians

Practitioners 3

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": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1952950123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BROADWAY RM 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384213",
            "telephone_number": "212-287-1275",
            "fax_number": "212-287-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY RM 1004",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384213",
            "telephone_number": "212-287-1275",
            "fax_number": "212-287-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "MEE KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-287-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Sep 10, 2019; 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.