Active NPIIndividual providerSole proprietor

Miss Kendra M Irizarry Pagan, DMD

Dentist, Oral and Maxillofacial Surgery in New York, New York

NPI Number1427491786
Practice location
200 W 57TH St Ste 804, New York, NY 10019-3266
Fax
646-895-9679
Last updated
November 12, 2025

Kendra Marie Irizarry Pagan is a Dentist, Oral and Maxillofacial Surgery based in New York, NY. Kendra Marie Irizarry Pagan practices in New York, NY and has the professional credentials of DMD. The NPI Number for Kendra Marie Irizarry Pagan is 1427491786 and holds a License No. 057502-01 (NY). The current practice location address for Kendra Marie Irizarry Pagan is 200 W 57TH St Ste 804, New York, NY 10019-3266 and can be reached out via phone at 646-895-9680 and via fax at 646-895-9679.

Provider Profile Details

NPI Number
1427491786
Provider Name
Kendra Marie Irizarry Pagan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
200 W 57TH St Ste 804, New York, NY 10019-3266
Phone Number
646-895-9680
Fax Number
646-895-9679
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
April 16, 2013
Last Update Date
November 12, 2025
Certification Date
November 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 W 57TH St Ste 804
New York, NY 10019-3266
Zip
10019-3266
Phone Number
646-895-9680
Fax Number
646-895-9679
New York, NY 10019Get directions →

Provider Business Mailing Address Details

Address
108 E 96TH St Apt 18B
New York, NY 10128-6222
City
New York
State
NY
Zip
10128-6222
Phone Number
917-705-2383

License Information

License Number
057502-01
License State
NY
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kendra M Irizarry Pagan, DMD?

The NPI number of Miss Kendra M Irizarry Pagan, DMD is 1427491786. It was assigned on April 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Miss Kendra M Irizarry Pagan, DMD?

Miss Kendra M Irizarry Pagan, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 057502-01.

Where does Miss Kendra M Irizarry Pagan, DMD practice?

The practice location is 200 W 57TH St Ste 804, New York, NY 10019-3266. The office can be reached at 646-895-9680 (phone) or 646-895-9679 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427491786 directly on the NPPES registry website.

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