NPIMap

Organization Active NPI

Exceldent of Orange/Sullivan, LLP

  • Dentist
  • Middletown, NY
National Provider Identifier
1265593420
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50528 Issued in NY
Legal business name
EXCELDENT OF ORANGE/SULLIVAN, LLP
Practice address
127-131 East Maint St
Middletown, NY 10940
Phone
(845) 342-5866
NPI assigned
Dec 12, 2006
Last updated
Mar 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Ms. Betty Ann Ogden
Title
Regional Director
Phone
(845) 342-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50528 NY Primary

Addresses

Primary practice location

127-131 East Maint St
Middletown, NY 10940

Mailing address

127-131 East Maint St
Middletown, NY 10940
Phone (845) 342-5866

Other names 1

  • Dental Arts Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dental Arts Associates2 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1265593420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127-131 EAST MAINT ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-342-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127-131 EAST MAINT ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-342-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELDENT OF ORANGE/SULLIVAN, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "845-342-5866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.