Court Street Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COURT STREET DENTAL, PC

Practice address

310 E Court St
Ithaca, NY 14850-4221

Phone

(607) 272-2033

Fax

(607) 272-3757

NPI assigned

Oct 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L HeckNPI 1073600151

Title

President

Phone

(607) 342-5456

Specialties & licenses 1

Addresses

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.

• David L Heck, DDS

  • General Practice Dentistry
  • Ithaca, NY
  • NPI 1073600151
  Authorized official Same address or phone

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104913318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E COURT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504221",
            "telephone_number": "607-342-5456",
            "fax_number": "607-272-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E COURT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504221",
            "telephone_number": "607-272-2033",
            "fax_number": "607-272-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURT STREET DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-342-5456"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Costello, PT
• Anthony Joseph Cotraccia, LCSW-R
• Elisabeth M Cotton, M.D.
• Court St. Chiropractic of Ithaca, P.C.
• Court Street Chiropractic of Ithaca, P.C.
• Maureen C. Cowen
• Katie B Cox, LPN
• Rachel Coye
• Sage Crain
• Ellen Jean Cramer, CNM , NP

• Dental Clinic/Center in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.