Organization Active NPI

Dentist 4 U

  • Dentist
  • Port Ewen, NY
National Provider Identifier
1154512655
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044997-1 Issued in NY
Legal business name
DENTIST 4 U
Practice address
186 Broadway
Port Ewen, NY 12466
Phone
(845) 331-9150
Fax
(845) 331-8846
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Irina LopatnyukNPI 1184887093
Title
President
Phone
(845) 331-9150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044997-1 NY Primary

Addresses

Primary practice location

186 Broadway
Port Ewen, NY 12466

Mailing address

58 Jefferson St
Highland Mills, NY 10930-2726
Phone (845) 928-4723

Other identifiers 1

IdentifierTypeStateIssuer
02382396MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1154512655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 JEFFERSON ST",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302726",
            "telephone_number": "845-928-4723",
            "fax_number": "845-928-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BROADWAY",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "12466",
            "telephone_number": "845-331-9150",
            "fax_number": "845-331-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST 4 U",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "LOPATNYUK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-331-9150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044997-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ewen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.