Organization Active NPI

Pinnacle Dental Group

  • General Practice Dentistry
  • Liverpool, NY
National Provider Identifier
1386198653
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058730 Issued in NY
Legal business name
PINNACLE DENTAL GROUP
Practice address
913 Old Liverpool Rd
Liverpool, NY 13088-5757
Phone
(315) 457-1014
Fax
(315) 457-7450
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. James Richardson, DDS
Title
Owner
Phone
(315) 592-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 058730 NY Primary

Addresses

Primary practice location

913 Old Liverpool Rd
Liverpool, NY 13088-5757

Mailing address

913 Old Liverpool Rd
Liverpool, NY 13088-5757
Phone (315) 457-1014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1386198653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885757",
            "telephone_number": "315-457-1014",
            "fax_number": "315-457-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OLD LIVERPOOL RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885757",
            "telephone_number": "315-457-1014",
            "fax_number": "315-457-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-592-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.