Community Dental Associates PC

Primary specialty

DentistTaxonomy code 122300000X

License

026694 Issued in NY

Legal business name

COMMUNITY DENTAL ASSOCIATES PC

Practice address

133 E 54TH St
Suite 2C
New York, NY 10022-4538

Phone

(212) 755-1637

Fax

(212) 371-0557

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Woods, DDS FAAHD

Title

Prosthodontist

Phone

(212) 755-1637

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417027756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-755-1637",
            "fax_number": "212-371-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-755-1637",
            "fax_number": "212-371-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "212-755-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS FAAHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "026694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "AW3152410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• 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.