Active NPI
Paul Joseph Sutera, D.D.S.
- General Practice Dentistry
- Katonah, NY
National Provider Identifier
1023234267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38878
- Practice address
- 190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804 - Phone
- (914) 232-1070
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38878 | NY | Primary |
Addresses
Primary practice location
190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804
Mailing address
190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804
Phone (914) 232-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38878 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023234267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 GOLDENS BRIDGE RD",
"address_2": "THE BEDFORD PROFESSIONAL BUILDING",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362804",
"telephone_number": "914-232-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GOLDENS BRIDGE RD",
"address_2": "THE BEDFORD PROFESSIONAL BUILDING",
"city": "KATONAH",
"state": "NY",
"postal_code": "105362804",
"telephone_number": "914-232-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTERA",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "38878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katonah, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.