Lake Chutuaqua Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAKE CHUTUAQUA DENTAL, PC

Practice address

70 E Fairmount Ave
Lakewood, NY 14750-1812

Phone

(716) 763-9838

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Catlin, DDSNPI 1699785352

Title

Owner/Dentist

Phone

(716) 763-9838

Specialties & licenses 1

Addresses

Other names 1

• Mondovi Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Walter Catlin, D.S.S.

  • Dentist
  • Lakewood, NY
  • NPI 1699785352
  NPD (past) Authorized official
• Dinesh Nandlal Patel, DDS

  • Dentist
  • Waterford, PA
  • NPI 1336468941
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1124408364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E FAIRMOUNT AVE",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147501812",
            "telephone_number": "716-763-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E FAIRMOUNT AVE",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147501812",
            "telephone_number": "716-763-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHUTUAQUA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CATLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "716-763-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mondovi Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Heise, PA-C
• Insight Managed Care
• S Michael Johnson, D.D.S.
• Kimberly Kamats, DC
• Rachel E King, PMHNP
• Lakeside Medical Practice PLLC
• Lakewood Apothecary and Natural Health Center Inc
• Lakewood Pediatric Dentistry PLLC
• Verna Lepley, COTA
• Karen Wise Lindeman, PH.D.

• All providers in Lakewood, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.