W Dental, PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

50050070 Issued in NY

Legal business name

W DENTAL, PLLC

Practice address

95 Christopher St
3J
New York, NY 10014-6605

Phone

(914) 924-5395

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Garrett Weston

Title

Member

Phone

(646) 734-3965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1093117640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHRISTOPHER ST",
            "address_2": "3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CHRISTOPHER ST",
            "address_2": "3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146605",
            "telephone_number": "914-924-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-734-3965"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "50050070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in New York, NY
• Providers in New York, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.