Active NPI
Kendall Ashley Saffner, DMD
- General Practice Dentistry
- Middletown, NY
National Provider Identifier
1174928030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50 057901
- Practice address
- 61 Orange Plaza LN
Middletown, NY 10940-2254 - Phone
- (877) 298-2320
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50 057901 | NY | Primary |
Addresses
Primary practice location
61 Orange Plaza LN
Middletown, NY 10940-2254
Mailing address
63 Maple Pkwy
Sparta, NJ 07871-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 057901 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1174928030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MAPLE PKWY",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 ORANGE PLAZA LN",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402254",
"telephone_number": "877-298-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFFNER",
"first_name": "KENDALL",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "50 057901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.