NPIMap

Organization Active NPI

Rye Dentistry PLLC

  • Dentist
  • Rye, NY
National Provider Identifier
1295978245
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054238 Issued in NY
Legal business name
RYE DENTISTRY PLLC
Practice address
105 Theodore Fremd Ave
Rye, NY 10580
Phone
(914) 967-0707
Fax
(914) 967-3411
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Jerry Lawrence Statman, DMDNPI 1407077902
Title
Owner
Phone
(914) 967-0707

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: 193200000X MULTI-SPECIALTY GROUP 122300000X 054238 NY Primary

Addresses

Primary practice location

105 Theodore Fremd Ave
Rye, NY 10580

Mailing address

105-107 Theodore Fremd Ave
Rye, NY 10580
Phone (914) 967-0707

National Provider Directory

National Provider Directory

Locations

105 Theodore Fremd Ave
Rye, NY 10580
Phone (914) 967-0707

Practitioners & affiliated clinicians

Practitioners 4

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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1295978245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105-107 THEODORE FREMD AVE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "10580",
            "telephone_number": "914-967-0707",
            "fax_number": "914-967-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 THEODORE FREMD AVE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "10580",
            "telephone_number": "914-967-0707",
            "fax_number": "914-967-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "STATMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-967-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.