NPIMap

Organization Active NPI

Red Oaks Dental, P.C

  • General Practice Dentistry
  • Poughkeepsie, NY
National Provider Identifier
1275798209
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049194 Issued in NY
Legal business name
RED OAKS DENTAL, P.C
Practice address
2064 New Hackensack Rd Ste 6
Poughkeepsie, NY 12603-4862
Phone
(845) 462-2727
Fax
(845) 462-2644
NPI assigned
Jul 18, 2008
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Olusola O Runsewe, DDSNPI 1740338169
Title
Dentist/Owner
Phone
(845) 462-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049194 NY Primary

Addresses

Primary practice location

2064 New Hackensack Rd Ste 6
Poughkeepsie, NY 12603-4862

Mailing address

2064 New Hackensack Rd Ste 6
Poughkeepsie, NY 12603-4862
Phone (845) 462-2727

National Provider Directory

National Provider Directory
Tax ID family
Red Oaks 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.

Locations

2064 New Hackensack Rd
Ste 6
Poughkeepsie, NY 12603
Phone (845) 462-2727

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": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1275798209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 NEW HACKENSACK RD STE 6",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034862",
            "telephone_number": "845-462-2727",
            "fax_number": "845-462-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 NEW HACKENSACK RD STE 6",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034862",
            "telephone_number": "845-462-2727",
            "fax_number": "845-462-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAKS DENTAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "RUNSEWE",
        "authorized_official_first_name": "OLUSOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "845-462-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

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