Chemung Family Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D041523 Issued in NY

Legal business name

CHEMUNG FAMILY DENTAL PLLC

Practice address

1007 Broadway St
Elmira, NY 14904-2503

Phone

(607) 734-2045

Fax

(607) 734-6103

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ricard B Dunn, DDS

Title

Dentist

Phone

(607) 734-2045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard B Dunn, DDS

  • Dentist
  • Elmira, NY
  • NPI 1831164987
  NPD
• Prakash Thuraisamy, DDS

  • Dentist
  • Elmira, NY
  • NPI 1649358771
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1326464249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042503",
            "telephone_number": "607-734-2045",
            "fax_number": "607-734-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042503",
            "telephone_number": "607-734-2045",
            "fax_number": "607-734-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMUNG FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RICARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "607-734-2045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "D041523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chemung Arc
• Chemung County Dept. of Social Services
• Chemung County Early Intervention Program
• Chemung County Early Intervention Program
• Chemung County Health Ctr.-Nursing Facility
• Chemung Medical Services PC
• Chemung-Schuyler Counties Chapter, Nysarc, Inc.
• Albert K Chen, MD
• Jing Ran Chen, M.D.
• Weiheng Chen, OD PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.