Highland Mills Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0527341 Issued in NY

Legal business name

HIGHLAND MILLS DENTAL CARE

Practice address

583 Route 32
Suite 1
Highland Mills, NY 10930-5200

Phone

(845) 928-3348

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Berhanes

Title

Practice Administrator

Phone

(845) 928-3348

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1245404318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 ROUTE 32",
            "address_2": "P.O. BOX 464",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305200",
            "telephone_number": "845-928-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 ROUTE 32",
            "address_2": "SUITE 1",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305200",
            "telephone_number": "845-928-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MILLS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BERHANES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "845-928-3348",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0527341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783535",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02749044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Grupp
• Matthew Ricardo Guevara
• Debra M Haney, OTR/L
• Timothy Harrison, LPN
• Susan Henriquez
• Mary Ishak, PHARM D
• Mohammed Aminul Islam, RPH
• Marie Evena JN Claude
• Elizabeth Michele Johnson
• Anna Joseph

• General Practice Dentistry in Highland Mills, NY
• Providers in Highland Mills, 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 Apr 18, 2008; 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.