Organization Active NPI

Littlejohn & Barbi Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterloo, NY
National Provider Identifier
1275183543
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LITTLEJOHN & BARBI ORTHODONTICS
Practice address
1203 Waterloo Geneva Rd
Waterloo, NY 13165-1201
Phone
(315) 539-9276
Fax
(315) 539-0353
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Susan E Perdicho
Title
Financial Cordinator
Phone
(315) 539-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1203 Waterloo Geneva Rd
Waterloo, NY 13165-1201

Mailing address

1203 Waterloo Geneva Rd
Waterloo, NY 13165-1201
Phone (315) 539-9276

National Provider Directory

National Provider Directory

Locations

1203 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 539-9276

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": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1275183543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651201",
            "telephone_number": "315-539-9276",
            "fax_number": "315-539-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651201",
            "telephone_number": "315-539-9276",
            "fax_number": "315-539-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLEJOHN & BARBI ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PERDICHO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FINANCIAL CORDINATOR",
        "authorized_official_telephone_number": "315-539-9276"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.