NPIMap

Organization Active NPI

Bausback & McGarry, LLP

  • General Practice Dentistry
  • Slingerlands, NY
National Provider Identifier
1063764520
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0453311 Issued in NY
Legal business name
BAUSBACK & MCGARRY, LLP
Practice address
840 Kenwood Ave
Slingerlands, NY 12159-9668
Phone
(518) 439-9939
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Debra Bausback, DMDNPI 1720165756
Title
Dentist/Owner
Phone
(518) 439-9939

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0453311 NY Primary
General Practice Dentistry 1223G0001X 0504081 NY

Addresses

Primary practice location

840 Kenwood Ave
Slingerlands, NY 12159-9668

Mailing address

840 Kenwood Ave
PO Box 189
Slingerlands, NY 12159-9668

Other identifiers 1

IdentifierTypeStateIssuer
4714MedicaidNY

National Provider Directory

National Provider Directory

Locations

840 Kenwood Ave
Slingerlands, NY 12159
Phone (518) 439-9939

Practitioners & affiliated clinicians

Practitioners 5

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1063764520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KENWOOD AVE",
            "address_2": "PO BOX 189",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KENWOOD AVE",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599668",
            "telephone_number": "518-439-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUSBACK & MCGARRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BAUSBACK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "518-439-9939",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0453311",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0504081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.