125 ST. BRACES
NPI 1134561137
Dentist - Orthodontics and Dentofacial Orthopedics in New York, NY

Active since July 19, 2013
63 W 125TH ST, 2ND FLOOR, NEW YORK, NY 10027(646) 505-8852 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 125 St. Braces NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

125 ST. BRACES (NPI 1134561137) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in New York, New York and active in the NPI registry since July 2013. The organization lists Daniel Kuncio, Member, as its authorized official.

NPPES Registry Identity

NPI1134561137
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business Name125TH ST. DENTAL GROUP, PLLC
Location Address63 W 125TH ST, 2ND FLOORNew York, NY 10027-4512
Mailing Address63 W 125th St, 2nd FloorNew York, NY 10027-4512 · (646) 505-8852
Organization SubpartNo
Authorized OfficialDaniel KuncioMember · (646) 505-8852
Enumeration DateJuly 19, 2013
NPI 1134561137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 051019
Definition
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.
63 W 125TH ST, New York, NY 10027

Other Names 1

Doing Business As125 St. Braces

Other Identifiers 3

Medicaid03047216NY
Medicaid03422386NY
Medicaid01644504NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
63 W 125TH ST, SECOND FLOOR
NEW YORK, NY 10027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 125th St. Dental Group, PLLC's NPI number?

The NPI number for 125th St. Dental Group, PLLC is 1134561137. It was assigned to this organization in the NPPES registry on July 19, 2013. The provider is doing business as 125 St. Braces.

Where is 125th St. Dental Group, PLLC located?

125th St. Dental Group, PLLC is located at 63 W 125th St 2nd Floor, New York, NY 10027. The listed phone number is (646) 505-8852.

What is 125th St. Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for 125th St. Dental Group, PLLC was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.