Active NPI
Judith Sansone Ewing
- Dental Hygienist
- Albany, NY
National Provider Identifier
1205975265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 006833
- Practice address
- 920 Lark Dr
Albany, NY 12207-1300 - Phone
- (518) 465-4771
- Fax
- (518) 242-4770
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 006833 | NY | Primary |
Addresses
Primary practice location
920 Lark Dr
Albany, NY 12207-1300
Mailing address
42 Woodstead Rd
Ballston Lake, NY 12019-1629
Phone (518) 465-4771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006833 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205975265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WOODSTEAD RD",
"city": "BALLSTON LAKE",
"state": "NY",
"postal_code": "120191629",
"telephone_number": "518-465-4771",
"fax_number": "518-242-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 LARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071300",
"telephone_number": "518-465-4771",
"fax_number": "518-242-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "JUDITH",
"middle_name": "SANSONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "006833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "006833",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- 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.