NPIMap

Organization Active NPI

Saratoga Dental Care, PLLC

Doing business as Glenmont Dental

  • General Practice Dentistry
  • Glenmont, NY
National Provider Identifier
1306478268
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SARATOGA DENTAL CARE, PLLC
Doing business as
Glenmont Dental
Practice address
336 Glenmont Rd
Glenmont, NY 12077-3411
Phone
(518) 472-8064
NPI assigned
Feb 10, 2020
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SARATOGA DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Chad Hendricks
Title
Director of Revenue Cycle
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

336 Glenmont Rd
Glenmont, NY 12077-3411

Mailing address

336 Glenmont Rd
Glenmont, NY 12077-3411
Phone (518) 472-8064

Other names 1

  • Glenmont Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saratoga Dental Care PLLC9 organizations share this tax ID, including this one
Part of
Saratoga Dental Care PLLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1306478268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GLENMONT RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773411",
            "telephone_number": "518-472-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GLENMONT RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773411",
            "telephone_number": "518-472-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA DENTAL CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA DENTAL CARE, PLLC",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenmont Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.