Organization Active NPI

Palma and Nardozza Dental Services, PC

  • General Practice Dentistry
  • Baldwinsville, NY
National Provider Identifier
1114666351
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALMA AND NARDOZZA DENTAL SERVICES, PC
Practice address
30 W Genesee St
Baldwinsville, NY 13027-1126
Phone
(315) 635-3671
Fax
(315) 635-6482
NPI assigned
Jun 3, 2022
Organization subpart
Yes
Parent organization
PALMA AND NARDOZZA DENTAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Casey Morse
Title
Senior Credentialing Specialist
Phone
(856) 272-4735

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

30 W Genesee St
Baldwinsville, NY 13027-1126

Mailing address

30 W Genesee St
Baldwinsville, NY 13027-1126
Phone (315) 635-3671

Other identifiers 1

IdentifierTypeStateIssuer
042879OtherNYNEW YORK STATE BOARD FOR DENTISTRY

Other names 1

  • Baldwinsville Gentle Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Palma and Nardozza Dental Services PC

Locations

30 W Genesee St
Baldwinsville, NY 13027
Phone (315) 635-3671

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1114666351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271126",
            "telephone_number": "315-635-3671",
            "fax_number": "315-635-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271126",
            "telephone_number": "315-635-3671",
            "fax_number": "315-635-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMA AND NARDOZZA DENTAL SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMA AND NARDOZZA DENTAL SERVICES, PC",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "856-272-4735"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE BOARD FOR DENTISTRY",
            "identifier": "042879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwinsville Gentle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.