Organization Active NPI

Caterpillar Dental PLLC

  • Dentist
  • West Babylon, NY
National Provider Identifier
1164129870
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CATERPILLAR DENTAL PLLC
Practice address
Caterpillar Dental PLLC
102 Route 109
West Babylon, NY 11704
Phone
(631) 619-0010
Fax
(631) 983-4774
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Deonah Joy Cacciatore
Title
Office Manager
Phone
(631) 619-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

Caterpillar Dental PLLC
102 Route 109
West Babylon, NY 11704

Mailing address

102 Route 109
West Babylon, NY 11704
Phone (631) 619-0010

Other names 1

  • Grace Dental Suites Other name

National Provider Directory

National Provider Directory

Locations

102 Route 109
West Babylon, NY 11704
Phone (631) 619-0010

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1164129870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-619-0010",
            "fax_number": "631-983-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATERPILLAR DENTAL PLLC",
            "address_2": "102 ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-619-0010",
            "fax_number": "631-983-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATERPILLAR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "DEONAH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-619-0010"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dental Suites",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.