NPIMap

Organization Active NPI

Russell J Dipalma DDS PC

  • Dentist
  • Fredonia, NY
National Provider Identifier
1205914637
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
033019 Issued in NY
Legal business name
RUSSELL J DIPALMA DDS PC
Practice address
195 East Main Street
Fredonia, NY 14063
Phone
(716) 673-9136
Fax
(716) 679-2221
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Russell Joseph Dipalma, DDSNPI 1760744437
Title
President
Phone
(716) 673-9136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 033019 NY Primary

Addresses

Primary practice location

195 East Main Street
Fredonia, NY 14063

Mailing address

195 East Main Street
Fredonia, NY 14063
Phone (716) 673-9136

National Provider Directory

National Provider Directory

Locations

195 E Main St
Fredonia, NY 14063
Phone (716) 673-9136

Practitioners & affiliated clinicians

Practitioners 2

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1205914637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 EAST MAIN STREET",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-673-9136",
            "fax_number": "716-679-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST MAIN STREET",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-673-9136",
            "fax_number": "716-679-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J DIPALMA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "DIPALMA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-673-9136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "033019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.