Organization Active NPI

Dental Arts Associate, P.C

  • General Practice Dentistry
  • Pomona, NY
National Provider Identifier
1144549171
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034889 Issued in NY
Legal business name
DENTAL ARTS ASSOCIATE, P.C
Practice address
18 Thiells Mount Ivy Rd
Unit 6
Pomona, NY 10970-3020
Phone
(845) 290-6003
Fax
(845) 290-6010
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Hanubal Gopalaswamy, DDS
Title
Owner
Phone
(845) 290-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 034889 NY Primary

Addresses

Primary practice location

18 Thiells Mount Ivy Rd
Unit 6
Pomona, NY 10970-3020

Mailing address

18 Thiells Mount Ivy Rd
Unit 6
Pomona, NY 10970-3020
Phone (845) 290-6003

National Provider Directory

National Provider Directory

Locations

18 Thiells Mount Ivy Rd
Ste 6
Pomona, NY 10970
Phone (845) 290-6003

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1144549171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 THIELLS MOUNT IVY RD",
            "address_2": "UNIT 6",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703020",
            "telephone_number": "845-290-6003",
            "fax_number": "845-290-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 THIELLS MOUNT IVY RD",
            "address_2": "UNIT 6",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703020",
            "telephone_number": "845-290-6003",
            "fax_number": "845-290-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS ASSOCIATE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "GOPALASWAMY",
        "authorized_official_first_name": "HANUBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-290-6003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.