Organization Active NPI

Buchanan Dental Arts PLLC

  • Durable Medical Equipment & Medical Supplies
  • Buchanan, NY
National Provider Identifier
1265808331
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BUCHANAN DENTAL ARTS PLLC
Practice address
107 Bannon Ave
Buchanan, NY 10511-1301
Phone
(914) 737-6300
Fax
(914) 737-6302
NPI assigned
Aug 12, 2015
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BUCHANAN DENTAL ARTS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Shay Markovitch, DDS
Title
Owner
Phone
(914) 737-6300

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Dentist 122300000X
Endodontics 1223E0200X
General Practice Dentistry 1223G0001X
Oral and Maxillofacial Pathology Dentistry 1223P0106X
Dental Hygienist 124Q00000X
Dental Assistant 126800000X

Addresses

Primary practice location

107 Bannon Ave
Buchanan, NY 10511-1301

Mailing address

107 Bannon Ave
Buchanan, NY 10511-1301
Phone (914) 737-6300

National Provider Directory

National Provider Directory
Part of
Buchanan Dental Arts PLLC

Locations

107 Bannon Ave
Buchanan, NY 10511
Phone (914) 737-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1265808331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BANNON AVE",
            "city": "BUCHANAN",
            "state": "NY",
            "postal_code": "105111301",
            "telephone_number": "914-737-6300",
            "fax_number": "914-737-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BANNON AVE",
            "city": "BUCHANAN",
            "state": "NY",
            "postal_code": "105111301",
            "telephone_number": "914-737-6300",
            "fax_number": "914-737-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN DENTAL ARTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUCHANAN DENTAL ARTS PLLC",
        "enumeration_date": "2015-08-12",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "MARKOVITCH",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-737-6300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.