NPIMap

Organization Active NPI

Joseph Patrick Fearon D.D.S., P.C.

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1053594150
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
040719 Issued in NY
Legal business name
JOSEPH PATRICK FEARON D.D.S., P.C.
Practice address
608A W End Ave
New York, NY 10024-1603
Phone
(212) 799-1199
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Joseph Patrick Fearon, DDSNPI 1306937560
Title
President
Phone
(212) 799-1199

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
Dental Clinic/Center 261QD0000X 040719 NY Primary

Addresses

Primary practice location

608A W End Ave
New York, NY 10024-1603

Mailing address

608A W End Ave
New York, NY 10024-1603
Phone (212) 799-1199

National Provider Directory

National Provider Directory

Locations

608A W End Ave
New York, NY 10024
Phone (212) 799-1199

Practitioners & affiliated clinicians

Practitioners 2

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1053594150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608A W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241603",
            "telephone_number": "212-799-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241603",
            "telephone_number": "212-799-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PATRICK FEARON D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "FEARON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-799-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "040719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.