NPIMap

Organization Active NPI

Southern Tier Family Dentistry, PC

  • Dental Clinic/Center
  • Falconer, NY
National Provider Identifier
1154712677
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
054513 Issued in NY
Legal business name
SOUTHERN TIER FAMILY DENTISTRY, PC
Practice address
230 E Main St
Falconer, NY 14733-1318
Phone
(716) 665-9484
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. James Harris Mitchener, DDSNPI 1689818288
Title
President
Phone
(716) 665-9484

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
Dental Clinic/Center 261QD0000X 054513 NY Primary

Addresses

Primary practice location

230 E Main St
Falconer, NY 14733-1318

Mailing address

230 E Main St
Falconer, NY 14733-1318
Phone (716) 665-9484

National Provider Directory

National Provider Directory

Locations

230 E Main St
Falconer, NY 14733
Phone (716) 665-9484

Practitioners & affiliated clinicians

Practitioners 4

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": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1154712677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E MAIN ST",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147331318",
            "telephone_number": "716-665-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MAIN ST",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147331318",
            "telephone_number": "716-665-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "MITCHENER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-665-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falconer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.