Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366803728 Deactivated / Inactive NPI Male Practitioner

Dr. Kind-Ron So , DMD

Dentist - General Practice • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kind-Ron So has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2016
NPI Deactivation Date October 21, 2016
Total Practice Duration ~1 Years of Practice (2016 – 2016)

Professional Overview & Biography Verified Profile Summary

Dr. Kind-Ron So, DMD was a registered Dentist - General Practice practicing in Bronx, NY. Throughout an active medical career spanning 1 years, Dr. So provided care at the practice location at 2202 GRAND CONCOURSE until profile deactivation on 2016-10-21.

Practice Location & Contact Primary Location

Practice Address

2202 Grand Concourse

Bronx, NY 104572000

Telephone 7183656389
Associated Practice Facility / Clinic
🏢 Grant And Kantor Dds P.c. Facility NPI 1366613499

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 59614

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1073661666

Doctor of Dental Surgery

NPI 1427257666

Doctor of Dental Medicine

Dr. Rusha Alyafi , DDS

Dentist - General Practice

NPI 1538309349

Doctor of Dental Surgery

NPI 1720287964

Doctor of Dental Surgery

NPI 1831189356

Doctor of Dental Surgery

Dr. Robert Bayewitch , DMD

Dentist - General Practice

NPI 1841339991

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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Updated Practice Location October 09, 2018

Registered at 2202 GRAND CONCOURSE, BRONX, NY 104572000 (Tel: 7183656389)

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Updated Business Mailing Address October 09, 2018

Registered at 2202 GRAND CONCOURSE, BRONX, NY 104572000

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Dentist (License #59614 in NY)

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NPI Profile Reactivated November 02, 2016

Record officially reactivated for active practice on November 02, 2016

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Updated Practice Location November 02, 2016

Registered at 760 BROADWAY, BROOKLYN, NY 11206 (Tel: 7189638310)

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Updated Business Mailing Address November 02, 2016

Registered at 760 BROADWAY, BROOKLYN, NY 11206 (Tel: 7189638310)

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Provider Name / Credentials Updated November 02, 2016

Recorded as KIND-RON SO, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated October 21, 2016

Record deactivated on October 21, 2016

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Initial NPI Registration & Enumeration March 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366803728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2016
Last Update: October 09, 2018
Deactivation Date: October 21, 2016
Sole Proprietor: No

Mailing Address

2202 Grand Concourse

Bronx, NY 104572000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.