Organization Active NPI

Congers Dental Arts

  • Dentist
  • Congers, NY
National Provider Identifier
1104063445
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
051163-1 Issued in NY
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

Updated by the provider on Jan 8, 2009

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 051163-1 NY Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 026446-1 NY
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 026906-1 NY
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 013121-1 NY
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.