Active NPI
Constantine George Christie, DDS
- Dentist
- New Hartford, NY
National Provider Identifier
1417048604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053139
- Practice address
- 4825 Commercial Drive
New Hartford, NY 13413 - Phone
- (315) 768-8300
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 053139 | NY | Primary |
Addresses
Primary practice location
4825 Commercial Drive
New Hartford, NY 13413
Mailing address
106 Fourth Ave 3a
Pelham, NY 10803
Phone (914) 576-2876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053139 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417048604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FOURTH AVE 3A",
"city": "PELHAM",
"state": "NY",
"postal_code": "10803",
"telephone_number": "914-576-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 COMMERCIAL DRIVE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "13413",
"telephone_number": "315-768-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "CONSTANTINE",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.