NPIMap

Organization Active NPI

Dentserv Dental Services PC

  • Dentist
  • Pelham, NY
National Provider Identifier
1366954307
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035119 Issued in NY
Legal business name
DENTSERV DENTAL SERVICES PC
Practice address
15 Canal Rd
Pelham, NY 10803-2706
Phone
(914) 738-1144
NPI assigned
Oct 31, 2017
Last updated
Oct 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Issac Newman
Title
Coo
Phone
(914) 738-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 035119 NY Primary

Addresses

Primary practice location

15 Canal Rd
Pelham, NY 10803-2706

Mailing address

15 Canal Rd
Pelham, NY 10803-2706
Phone (914) 738-1144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1366954307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CANAL RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032706",
            "telephone_number": "914-738-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANAL RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108032706",
            "telephone_number": "914-738-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTSERV DENTAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-738-1144"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.