Ronald B. Odrich, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

022462 Issued in NY

Practice address

532 Park Avenue
Park Avenue Periodontal Associates
New York, NY 10021

Phone

(212) 838-0940

Fax

(212) 355-4784

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194930362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 PARK AVENUE",
            "address_2": "PARK AVENUE PERIODONTAL ASSOCIATES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-838-0940",
            "fax_number": "212-355-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 PARK AVENUE",
            "address_2": "PARK AVENUE PERIODONTAL ASSOCIATES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-838-0940",
            "fax_number": "212-355-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODRICH",
        "first_name": "RONALD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "022462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Odin, MD
• Hanna Sison Odita
• Ian Christopher Odland
• Elizabeth Kirby Odom, MD
• Kelli Erin Odonnell, LMSW
• Iyiola Oduekun
• Taiwo Odufunade, M.D.
• Chukwunonyelum Odukwe, MD
• Ruta Alexandra Odulak, ND
• Taras J Odulak

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.