NPIMap

Organization Active NPI

Otsego Dental Care PLLC

  • Dentist
  • Oneonta, NY
National Provider Identifier
1285064451
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OTSEGO DENTAL CARE PLLC
Practice address
32 Main St
Oneonta, NY 13820-2519
Phone
(607) 441-3200
Fax
(607) 441-3203
NPI assigned
Nov 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Dr. Hollis Heinzerling, DDSNPI 1982613279
Title
Owner
Phone
(607) 441-3200

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

32 Main St
Oneonta, NY 13820-2519

Mailing address

32 Main St
Oneonta, NY 13820-2519
Phone (607) 441-3200

National Provider Directory

National Provider Directory

Locations

32 Main St
Oneonta, NY 13820
Phone (607) 431-9651

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": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1285064451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202519",
            "telephone_number": "607-441-3200",
            "fax_number": "607-441-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202519",
            "telephone_number": "607-441-3200",
            "fax_number": "607-441-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTSEGO DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "HEINZERLING",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-441-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.