Richard D. Maceko Dentistry,PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

040550 Issued in NY

Legal business name

RICHARD D. MACEKO DENTISTRY,PLLC

Practice address

113 E Steuben St
Bath, NY 14810-1621

Phone

(607) 776-2116

Fax

(607) 776-2265

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard D. Maceko, DDS

Title

Owner

Phone

(607) 776-2116

Specialties & licenses 1

Addresses

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.

• Thomas Gadziala, D.D.S.

  • General Practice Dentistry
  • Bath, NY
  • NPI 1720110109
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285756726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101621",
            "telephone_number": "607-776-2116",
            "fax_number": "607-776-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101621",
            "telephone_number": "607-776-2116",
            "fax_number": "607-776-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. MACEKO DENTISTRY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACEKO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-776-2116",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Marie Pygott, CPHT
• Rosemary Barbara Randall, RNFNP
• Randolph J Weaver (Village Pharmacy)
• John H Rapacke, PHARM-D
• Luz Fernanda Repizo Paredes
• Robin Richardson
• Cynthia Ripple, N.P.
• Rite Aid of New York Inc (Rite Aid Pharmacy 03983)
• Michelle Lynne Ritter, LPN
• Elaine Marie Rivas, PH.D.

• Dentist in Bath, NY
• Providers in Bath, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.