NPIMap

Organization Active NPI

Capital Area Hudson Valley New York Dental PC

  • General Practice Dentistry
  • Troy, NY
National Provider Identifier
1124774989
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Practice address
500 Federal St Ste 300
Troy, NY 12180-2832
Phone
(581) 273-8931
Fax
(518) 273-8723
NPI assigned
Mar 1, 2022
Organization subpart
Yes
Parent organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

500 Federal St Ste 300
Troy, NY 12180-2832

Mailing address

500 Federal St Ste 300
Troy, NY 12180-2832
Phone (581) 273-8931

Other names 1

  • 1st Advantage Dental - Troy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental PC23 organizations share this tax ID, including this one
Part of
Capital Area Hudson Valley Ny Dental PC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

500 Federal St
Troy, NY 12180
Phone (518) 274-0501

500 Federal St
Ste 300
Troy, NY 12180
Phone (518) 273-8931

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1124774989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST STE 300",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "581-273-8931",
            "fax_number": "518-273-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST STE 300",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "581-273-8931",
            "fax_number": "518-273-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental - Troy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "1st Advantage Dental - Troy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.