NPIMap

Organization Active NPI

Palisades Dental P.C.

  • General Practice Dentistry
  • Montrose, NY
National Provider Identifier
1164023479
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PALISADES DENTAL P.C.
Practice address
2118 Albany Post Rd
Montrose, NY 10548-1458
Phone
(914) 417-4159
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Sang Moon, D.D.S.NPI 1952454605
Title
President
Phone
(914) 417-4159

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2118 Albany Post Rd
Montrose, NY 10548-1458

Mailing address

2118 Albany Post Rd
Montrose, NY 10548-1458
Phone (914) 417-4159

Other names 1

  • Montrose Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1164023479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481458",
            "telephone_number": "914-417-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481458",
            "telephone_number": "914-417-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-417-4159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montrose Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.