NPIMap

Organization Active NPI

Dental Offices, LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Schenectady, NY
National Provider Identifier
1164464848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
030136 Issued in NY
Legal business name
DENTAL OFFICES, LLP
Practice address
1070 Nott St
Schenectady, NY 12308-2410
Phone
(518) 374-4118
Fax
(518) 374-1978
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald R Deluke,, DDSNPI 1548356561
Title
Director
Phone
(518) 374-4118

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
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 030136 NY Primary

Addresses

Primary practice location

1070 Nott St
Schenectady, NY 12308-2410

Mailing address

1070 Nott St
Schenectady, NY 12308-2410
Phone (518) 374-4118

Other identifiers 1

IdentifierTypeStateIssuer
01765517MedicaidNY

National Provider Directory

National Provider Directory

Locations

1070 Nott St
Schenectady, NY 12308
Phone (518) 374-4118

Practitioners & affiliated clinicians

Practitioners 8

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164464848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082410",
            "telephone_number": "518-374-4118",
            "fax_number": "518-374-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082410",
            "telephone_number": "518-374-4118",
            "fax_number": "518-374-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELUKE,",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-374-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "030136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765517",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.