Organization Active NPI

Judith a Purcell DDS PC

  • Dentist
  • Troy, NY
National Provider Identifier
1013077221
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JUDITH A PURCELL DDS PC
Practice address
721 Hoosick Rd
Troy, NY 12180-8823
Phone
(518) 273-0737
Fax
(518) 273-0149
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Judith A Purcell, DDSNPI 1154720191
Title
President
Phone
(518) 273-0737

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

721 Hoosick Rd
Troy, NY 12180-8823

Mailing address

721 Hoosick Rd
Troy, NY 12180-8823
Phone (518) 273-0737

Other identifiers 1

IdentifierTypeStateIssuer
00751226MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1013077221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808823",
            "telephone_number": "518-273-0737",
            "fax_number": "518-273-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808823",
            "telephone_number": "518-273-0737",
            "fax_number": "518-273-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A PURCELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-273-0737",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00751226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.