Organization Active NPI

Jerrold Schapiro DDS PLLC

  • Dental Clinic/Center
  • Utica, NY
National Provider Identifier
1104370402
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
037949 Issued in NY
Legal business name
JERROLD SCHAPIRO DDS PLLC
Practice address
2404 Genesee St
Utica, NY 13502-5813
Phone
(315) 724-1324
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Jerrold SchapiroNPI 1588653182
Title
Owner
Phone
(315) 724-1324

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 037949 NY Primary

Addresses

Primary practice location

2404 Genesee St
Utica, NY 13502-5813

Mailing address

2404 Genesee St
Utica, NY 13502-5813
Phone (315) 724-1324

National Provider Directory

National Provider Directory

Locations

2404 Genesee St
Utica, NY 13502
Phone (315) 724-1324

Practitioners & affiliated clinicians

Practitioners 1

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1104370402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025813",
            "telephone_number": "315-724-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025813",
            "telephone_number": "315-724-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD SCHAPIRO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHAPIRO",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-724-1324",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "037949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.