NPIMap

Organization Active NPI

Abdentistrypllc

  • Dentist
  • Loudonville, NY
National Provider Identifier
1265815088
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046050-1 Issued in NY
Legal business name
ABDENTISTRYPLLC
Practice address
515 1/2 Albany Shaker Rd
Loudonville, NY 12211-2135
Phone
(518) 458-1320
Fax
(518) 458-9670
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Antonio Boncordo, DMDNPI 1831293562
Title
Dentist
Phone
(518) 458-1320

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
Dentist 122300000X 046050-1 NY Primary

Addresses

Primary practice location

515 1/2 Albany Shaker Rd
Loudonville, NY 12211-2135

Mailing address

515 1/2 Albany Shaker Rd
Loudonville, NY 12211-2135
Phone (518) 458-1320

National Provider Directory

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, 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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1265815088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 1/2 ALBANY SHAKER RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122112135",
            "telephone_number": "518-458-1320",
            "fax_number": "518-458-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 1/2 ALBANY SHAKER RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122112135",
            "telephone_number": "518-458-1320",
            "fax_number": "518-458-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDENTISTRYPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BONCORDO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "518-458-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046050-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.