Organization Active NPI

Caleb a. George & Alan F. Justin

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton Park, NY
National Provider Identifier
1013116011
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
34479 Issued in NY
Legal business name
CALEB A. GEORGE & ALAN F. JUSTIN
Practice address
1799 Route 9
Clifton Park, NY 12065-2409
Phone
(518) 383-5457
NPI assigned
Jul 11, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Caleb A. George
Title
Partner
Phone
(518) 383-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 34479 NY Primary

Addresses

Primary practice location

1799 Route 9
Clifton Park, NY 12065-2409

Mailing address

1799 Route 9
Clifton Park, NY 12065-2409
Phone (518) 383-5457

National Provider Directory

National Provider Directory

Locations

1799 Route 9
Halfmoon, NY 12065
Phone (518) 383-5457

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1013116011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-383-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-383-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB A. GEORGE & ALAN F. JUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-383-5457",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "34479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.