Organization Active NPI

Washington Family Dental P.C.

  • General Practice Dentistry
  • Endicott, NY
National Provider Identifier
1255540878
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046818 Issued in NY
Legal business name
WASHINGTON FAMILY DENTAL P.C.
Practice address
15 Washington Ave
Endicott, NY 13760-5304
Phone
(607) 785-1027
Fax
(607) 785-0269
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Guillermo E Ramos, D.D.S.NPI 1043362106
Title
President
Phone
(607) 785-1027

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 046818 NY Primary

Addresses

Primary practice location

15 Washington Ave
Endicott, NY 13760-5304

Mailing address

15 Washington Ave
Endicott, NY 13760-5304
Phone (607) 785-1027

Other identifiers 1

IdentifierTypeStateIssuer
046818OtherTNDENTIST

National Provider Directory

National Provider Directory
Tax ID family
Washington Family Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1255540878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605304",
            "telephone_number": "607-785-1027",
            "fax_number": "607-785-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605304",
            "telephone_number": "607-785-1027",
            "fax_number": "607-785-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-785-1027",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "046818",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

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