Active NPI
Rivertowns Pediatric Dentistry
- Pediatric Dentistry
- Ardsley, NY
National Provider Identifier
1366432890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 049633
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.