NPIMap

Organization Active NPI

Capital Area Hudson Valley Ny Dental, PC

Doing business as 1st Advantage Dental

  • General Practice Dentistry
  • Hudson, NY
National Provider Identifier
1003959982
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAPITAL AREA HUDSON VALLEY NY DENTAL, PC
Doing business as
1st Advantage Dental
Practice address
160 Fairview Ave
Fairview Plaza Suite 201
Hudson, NY 12534-1267
Phone
(518) 828-3007
Fax
(518) 822-9350
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Hutton, DDSNPI 1801960141
Title
President
Phone
(518) 828-3007

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

160 Fairview Ave
Fairview Plaza Suite 201
Hudson, NY 12534-1267

Mailing address

100 Saratoga Village Blvd
Suite 36a
Ballston Spa, NY 12020-3737
Phone (518) 899-9783

Other names 1

  • 1st Advantage Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

160 Fairview Ave
Ste 201
Hudson, NY 12534
Phone (518) 828-0050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003959982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD",
            "address_2": "SUITE 36A",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203737",
            "telephone_number": "518-899-9783",
            "fax_number": "518-899-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FAIRVIEW AVE",
            "address_2": "FAIRVIEW PLAZA SUITE 201",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341267",
            "telephone_number": "518-828-3007",
            "fax_number": "518-822-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-828-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.