Organization Active NPI

Jeffrey a. Meltzer, D.M.D.,P.C.

  • Periodontics
  • Fayetteville, NY
National Provider Identifier
1043584196
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
029435 Issued in NY
Legal business name
JEFFREY A. MELTZER, D.M.D.,P.C.
Practice address
516 E Genesee St
Fayetteville, NY 13066-1537
Phone
(315) 637-4466
Fax
(315) 637-8874
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Jeffrey Alan Meltzer, DMD
Title
President
Phone
(315) 637-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 029435 NY Primary

Addresses

Primary practice location

516 E Genesee St
Fayetteville, NY 13066-1537

Mailing address

516 E Genesee St
Fayetteville, NY 13066-1537
Phone (315) 637-4466

National Provider Directory

National Provider Directory

Locations

516 E Genesee St
Fayetteville, NY 13066
Phone (315) 251-1234

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1043584196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661537",
            "telephone_number": "315-637-4466",
            "fax_number": "315-637-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661537",
            "telephone_number": "315-637-4466",
            "fax_number": "315-637-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A. MELTZER, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-637-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "029435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

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