Collegetown Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044135 Issued in NY

Legal business name

COLLEGETOWN FAMILY DENTAL

Practice address

324 Dryden Rd.
Ithaca, NY 14850

Phone

(607) 272-2131

Fax

(607) 272-2132

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kristna Kapur, DDS

Title

Owner

Phone

(607) 272-2131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1215200779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504896",
            "telephone_number": "607-272-2131",
            "fax_number": "607-272-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DRYDEN RD.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-272-2131",
            "fax_number": "607-272-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGETOWN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "KRISTNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-272-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank C Cole III, MD
• Jennifer Cole, NP
• Leaf Coleman
• College of Veterinary Medicine
• Collegetown Cab Inc
• Meaghan Colleran, LMSW
• Jefferson D Collins, LCSW
• Kailey Marin Collins, ATC
• Rosemary Rosello Collins, RN
• Community Health and Home Care, Inc.

• General Practice Dentistry in Ithaca, NY
• Providers in Ithaca, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.