NPIMap

Organization Active NPI

3 Stone Dental

  • General Practice Dentistry
  • Cicero, NY
National Provider Identifier
1184915415
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051925-1 Issued in NY
Legal business name
3 STONE DENTAL
Practice address
5663 E Circle Dr
Suite 600
Cicero, NY 13039-8907
Phone
(315) 214-0004
Fax
(315) 214-0005
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Ms. Angelina Santa Maria
Title
Business/Finance Manager
Phone
(315) 214-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051925-1 NY Primary

Addresses

Primary practice location

5663 E Circle Dr
Suite 600
Cicero, NY 13039-8907

Mailing address

5663 E Circle Dr
Suite 600
Cicero, NY 13039-8907
Phone (315) 214-0004

Other identifiers 1

IdentifierTypeStateIssuer
051925-1OtherNYEDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS

National Provider Directory

National Provider Directory
Tax ID family
3 Stone Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1184915415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 E CIRCLE DR",
            "address_2": "SUITE 600",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398907",
            "telephone_number": "315-214-0004",
            "fax_number": "315-214-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 E CIRCLE DR",
            "address_2": "SUITE 600",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398907",
            "telephone_number": "315-214-0004",
            "fax_number": "315-214-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 STONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "BUSINESS/FINANCE MANAGER",
        "authorized_official_telephone_number": "315-214-0004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051925-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS",
            "identifier": "051925-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.