Organization Active NPI

Rivertowns Pediatric Dentistry

  • Pediatric Dentistry
  • Ardsley, NY
National Provider Identifier
1366432890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
049633 Issued in NY
Legal business name
RIVERTOWNS PEDIATRIC DENTISTRY
Practice address
547 Saw Mill River Rd
Suite 2a
Ardsley, NY 10502-2143
Phone
(914) 693-3650
Fax
(914) 693-0868
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kavita Kohli, DDS
Title
Owner of Practice
Phone
(914) 693-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 049633 NY Primary

Addresses

Primary practice location

547 Saw Mill River Rd
Suite 2a
Ardsley, NY 10502-2143

Mailing address

547 Saw Mill River Rd
Suite 2a
Ardsley, NY 10502-2143
Phone (914) 693-3650

National Provider Directory

National Provider Directory

Locations

547 Saw Mill River Rd
Ste 2A
Ardsley, NY 10502
Phone (914) 693-3650

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366432890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SAW MILL RIVER RD",
            "address_2": "SUITE 2A",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022143",
            "telephone_number": "914-693-3650",
            "fax_number": "914-693-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SAW MILL RIVER RD",
            "address_2": "SUITE 2A",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022143",
            "telephone_number": "914-693-3650",
            "fax_number": "914-693-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWNS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "914-693-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.