Active NPI
Caterpillar Dental PLLC
- Dentist
- West Babylon, NY
National Provider Identifier
1164129870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.