New York Dental Service Providers, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NEW YORK DENTAL SERVICE PROVIDERS, PLLC

Doing business as

Scarsdale Pediatric Dental Associates

Practice address

777 White Plains Rd
Scarsdale, NY 10583-5000

Phone

(914) 472-9090

NPI assigned

Jan 31, 2024

Organization subpart

Yes

Parent organization

NEW YORK DENTAL SERVICE PROVIDERS, PLLCAs reported in NPPES

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

Authorized official

Name

Charlotte V Dasch

Title

Direc of Cred and Prov Rel

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Other names 1

• Scarsdale Pediatric Dental Associates Doing business as

Tax ID family

New York Dental Service Providers PLLC2 organizations share this tax ID, including this one

Part of

New York Dental Service Providers PLLC

Other organizations with this tax ID 1

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

• New York Dental Service Providers, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Scarsdale, NY
  • NPI 1932894235
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• New York Dental Service Providers, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Scarsdale, NY
  • NPI 1932894235
  NPPES parent name

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1205699519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WHITE PLAINS RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835000",
            "telephone_number": "914-472-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK DENTAL SERVICE PROVIDERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK DENTAL SERVICE PROVIDERS, PLLC",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIREC OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scarsdale Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.