Active NPI
Congers Dental Arts
- Dentist
- Congers, NY
National Provider Identifier
1104063445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051163-1
- Legal business name
- CONGERS DENTAL ARTS
- Practice address
- 1 Sheridan Ave
Congers, NY 10920-2011 - Phone
- (845) 268-3828
- Fax
- (845) 268-0279
- NPI assigned
- Jan 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Basta, D.M.D
- Title
- Owner
- Phone
- (845) 268-3828
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 051163-1 | NY | Primary |
| Dentist | 122300000X | 026446-1 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 026906-1 | NY | |
| Dental Hygienist | 124Q00000X | 013121-1 | NY | |
| Dental Hygienist | 124Q00000X | 014349 | NY |
Addresses
Primary practice location
1 Sheridan Ave
Congers, NY 10920-2011
Mailing address
1 Sheridan Ave
Congers, NY 10920-2011
Phone (845) 268-3828
National Provider Directory
National Provider DirectoryLocations
1 Sheridan Ave
Congers, NY 10920
Phone (845) 268-3828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Congers, NY
- NPI 1023024296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231372800000",
"number": "1104063445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHERIDAN AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202011",
"telephone_number": "845-268-3828",
"fax_number": "845-268-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHERIDAN AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202011",
"telephone_number": "845-268-3828",
"fax_number": "845-268-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONGERS DENTAL ARTS",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A",
"authorized_official_last_name": "BASTA",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-268-3828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "051163-1",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "026446-1",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "026906-1",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "NY",
"license": "013121-1",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "NY",
"license": "014349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.