326 Tom Miller Road LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50051508 Issued in NY

Legal business name

326 TOM MILLER ROAD LLC

Practice address

326 Tom Miller Rd
Plattsburgh, NY 12901-6430

Phone

(518) 563-7097

Fax

(518) 563-9690

NPI assigned

Jan 30, 2017

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas James Chauvin, DDS

Title

Owner

Phone

(518) 598-3086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1235676198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016430",
            "telephone_number": "518-563-7097",
            "fax_number": "518-563-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016430",
            "telephone_number": "518-563-7097",
            "fax_number": "518-563-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "326 TOM MILLER ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-598-3086",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50051508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Abar, R.N.
• Albert E Abbott Jr., MD
• Nancy Alaaeldin Aly Abdelwahed
• Kristofer A Abel, PA-C
• Joel Abikhzer, DMD, MSC

• General Practice Dentistry in Plattsburgh, NY
• Providers in Plattsburgh, 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 Jan 30, 2017; 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.