Organization Active NPI

Total Family Dentistry of Saint James PC

  • Dental Clinic/Center
  • Saint James, NY
National Provider Identifier
1326744178
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOTAL FAMILY DENTISTRY OF SAINT JAMES PC
Practice address
331 1St Ave
Saint James, NY 11780-2020
Phone
(631) 584-5523
Fax
(631) 686-6311
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Gus Stampelos, DMDNPI 1831392067
Title
Owner
Phone
(631) 584-5523

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

331 1St Ave
Saint James, NY 11780-2020

Mailing address

331 1St Ave
Saint James, NY 11780-2020
Phone (631) 584-5523

National Provider Directory

National Provider Directory

Locations

331 1st Ave
Saint James, NY 11780
Phone (631) 584-5523

Practitioners & affiliated clinicians

Practitioners 3

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": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1326744178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 1ST AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802020",
            "telephone_number": "631-584-5523",
            "fax_number": "631-686-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 1ST AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802020",
            "telephone_number": "631-584-5523",
            "fax_number": "631-686-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY DENTISTRY OF SAINT JAMES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "STAMPELOS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-584-5523",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.