NPIMap

Organization Active NPI

New Baltimore Family Dentistry, LLP

  • General Practice Dentistry
  • West Coxsackie, NY
National Provider Identifier
1174944243
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056141 Issued in NY
Legal business name
NEW BALTIMORE FAMILY DENTISTRY, LLP
Practice address
12498 RT 9W
West Coxsackie, NY 12192-1705
Phone
(518) 731-2797
Fax
(518) 731-9974
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Lisa Plass
Title
Office Manager
Phone
(518) 731-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 056141 NY Primary

Addresses

Primary practice location

12498 RT 9W
West Coxsackie, NY 12192-1705

Mailing address

12498 RT 9W
West Coxsackie, NY 12192-1705
Phone (518) 731-2797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1174944243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12498 RT 9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121921705",
            "telephone_number": "518-731-2797",
            "fax_number": "518-731-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12498 RT 9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121921705",
            "telephone_number": "518-731-2797",
            "fax_number": "518-731-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BALTIMORE FAMILY DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "PLASS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-731-2797"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Coxsackie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.