Organization Active NPI

North Country Dental Sevices

  • Dentist
  • Potsdam, NY
National Provider Identifier
1336507136
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTH COUNTRY DENTAL SEVICES
Practice address
22 Depot St Ste 14
Potsdam, NY 13676-1140
Phone
(315) 265-9320
Fax
(315) 265-5903
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Danielle Labar
Title
Executrix
Phone
(315) 212-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

22 Depot St Ste 14
Potsdam, NY 13676-1140

Mailing address

22 Depot St
Potsdam, NY 13676-1229
Phone (315) 265-9320

National Provider Directory

National Provider Directory

Locations

22 Depot St
Ste 14
Potsdam, NY 13676
Phone (315) 265-9320

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1336507136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DEPOT ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761229",
            "telephone_number": "315-265-9320",
            "fax_number": "315-265-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DEPOT ST STE 14",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761140",
            "telephone_number": "315-265-9320",
            "fax_number": "315-265-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY DENTAL SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "LABAR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "EXECUTRIX",
        "authorized_official_telephone_number": "315-212-7018"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.