Dentist in NEW YORK, NY
Last Updated on : Jul 19,2013
125TH ST. DENTAL GROUP, PLLC is a Dentist in NEW YORK, United States with a focus in Orthodontics and Dentofacial Orthopedics .
1134561137 is NPI number of 125TH ST. DENTAL GROUP, PLLC.
125TH ST. DENTAL GROUP, PLLC's primary taxonomy code based on NPI Lookup is 1223X0400X with license number 051019. This taxonomy code refers to Dentist.
125TH ST. DENTAL GROUP, PLLC current practice location address is 63 W 125TH ST, NEW YORK, NY. 125TH ST. DENTAL GROUP, PLLC can be reached out via phone at 646-505-8852 .
You can also correspond with 125TH ST. DENTAL GROUP, PLLC through mail at mailing address 63 W 125TH ST, NEW YORK, NY, United States. Mailing address contact number is 646-505-8852.
The enumeration date of 125TH ST. DENTAL GROUP, PLLC is 19-Jul-2013. The provider is registered as an Organization and the NPI record was last updated 10 years ago. The authorized official of 125TH ST. DENTAL GROUP, PLLC is DANIEL KUNCIO (member). DANIEL KUNCIO can be reached at 6465058852.Basic NPI information of 125TH ST. DENTAL GROUP, PLLC (NPI 1134561137) is provided below.
Name | 125TH ST. DENTAL GROUP, PLLC |
---|---|
National Provider Id (NPI) | 1134561137 |
Entity Type | Organization |
Practice Address | 63 W 125TH ST,
2ND FLOOR
NEW YORK, NY, United States |
Practice Telephone | 646-505-8852 |
Practice Fax Number | |
Mailing Address | 63 W 125TH ST ,
2ND FLOOR
NEW YORK, NY, United States |
Mailing Telephone | 646-505-8852 |
Mailing Fax Number | |
Enumeration Date | 19-Jul-2013 |
Last Updated Date | 19-Jul-2013 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 051019 | NY |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
01644504 | MEDICAID (05) | NY | |
03047216 | MEDICAID (05) | NY | |
03422386 | MEDICAID (05) | NY |
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---|---|---|---|---|
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17-Nov-2011 |
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04-Aug-2006 |
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09-Nov-2009 |
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20-Aug-2015 |
1902268162 | 103 PHARMACY INC | Pharmacy, Community/Retail Pharmacy | 2002 2ND AVE,
STORE 1 NEW YORK, NY, United States |
25-Mar-2016 |
1033278544 | 104TH ST OPTICAL INC | Optometrist | 1884 3RD AVE,
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08-Dec-2006 |
1578852588 | 105 EAST 78 STREET MEDICAL | Specialist | 885 PARK AVE,
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30-Mar-2011 |
1336686179 | 110RXCORP | Pharmacy, Community/Retail Pharmacy | 127 E 110TH ST,
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31-Jan-2017 |
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10-Oct-2022 |
1659788008 | 116 STREET DENTAL CARE PLLC | Dentist, General Practice | 240 W 116TH ST,
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17-Jul-2014 |
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19-May-2021 |
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03-Feb-2017 |
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16-Feb-2011 |
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18-Jan-2018 |
1235762899 | 121 MEDICAL P.C. | Family Medicine | 5030 BROADWAY STE 818,
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21-Feb-2020 |
1851710511 | 123 DENTAL GROUP PC | Dentist, General Practice | 123 E 37TH ST,
SUITE 1C NEW YORK, NY, United States |
10-Apr-2014 |
1952745291 | 123 MEDICAL GROUP, P.C. | Specialist | 286 FORT WASHINGTON AVE,
SUITE# 1G NEW YORK, NY, United States |
17-Apr-2013 |
1134561137 | 125TH ST. DENTAL GROUP, PLLC | Dentist, Orthodontics and Dentofacial Orthopedics | 63 W 125TH ST,
2ND FLOOR NEW YORK, NY, United States |
19-Jul-2013 |
1063650125 | 125TH STREET DENTAL ARTS P.C. | Dentist, General Practice | 437 WEST 125 STREET,
NEW YORK, NY, United States |
28-Jan-2009 |
1861523771 | 125TH STREET DENTAL LLP | Dentist, General Practice | 437 W 125TH ST,
NEW YORK, NY, United States |
09-Mar-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1134561137 is the NPI number of 125TH ST. DENTAL GROUP, PLLC.
Where is 125TH ST. DENTAL GROUP, PLLC located?125TH ST. DENTAL GROUP, PLLC is located at 63 W 125TH ST, NEW YORK, NY.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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