Organization Active NPI

Gideon Ochiabuto Dentistry PC

  • General Practice Dentistry
  • Syracuse, NY
National Provider Identifier
1134501356
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053709-1 Issued in NY
Legal business name
GIDEON OCHIABUTO DENTISTRY PC
Practice address
521 E Washington St
Syracuse, NY 13202-1917
Phone
(315) 218-7366
Fax
(315) 469-7060
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Dr. Gideon I Ochiabuto, DDS
Title
Dentist
Phone
(315) 218-7366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 053709-1 NY Primary

Addresses

Primary practice location

521 E Washington St
Syracuse, NY 13202-1917

Mailing address

521 E Washington St
Syracuse, NY 13202-1917
Phone (315) 218-7366

National Provider Directory

National Provider Directory

Locations

521 E Washington St
Syracuse, NY 13202
Phone (315) 218-7366

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1134501356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E WASHINGTON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021917",
            "telephone_number": "315-218-7366",
            "fax_number": "315-469-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E WASHINGTON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021917",
            "telephone_number": "315-218-7366",
            "fax_number": "315-469-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON OCHIABUTO DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "OCHIABUTO",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-218-7366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053709-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.