Christopher Dabin Pae

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

061085 Issued in NY

Practice address

88 Broad St
Glens Falls, NY 12801-4385

Phone

(518) 798-9966

NPI assigned

Apr 24, 2018

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher D Pae DDS PLLC

  • Pediatric Dentistry
  • Stewart Manor, NY
  • NPI 1457205601
  NPD Authorized official

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1386132447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHISTLER CT UNIT 402",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668431",
            "telephone_number": "917-386-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014385",
            "telephone_number": "518-798-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112065317",
            "country_code": "US",
            "telephone_number": "718-963-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAE",
        "first_name": "CHRISTOPHER",
        "middle_name": "DABIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ostrander, PHARMD
• Kelly Nicole Otten, OTR/L
• Owen Garrett Ovitt
• Heather Oxberry, FNP-C
• Pace at Hudson Headwaters
• Dawn Alena Palmer, LPN
• Diana Marie Layous Palmer, LMFT
• Meghan Palmer, CRNA
• Alexa Suzanne Palmieri, PA-C
• Tiffaney Pantoja

• Pediatric Dentistry in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.