NPIMap

Organization Active NPI

Columbia Dental Faculty Practice

  • Dentist
  • New York, NY
National Provider Identifier
1417159104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040566-1 Issued in NY
Legal business name
COLUMBIA DENTAL FACULTY PRACTICE
Practice address
16 East 60TH. Street
Suite # 380
New York, NY 10022
Phone
(212) 326-8520
Fax
(212) 326-8555
NPI assigned
Jun 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Davia Appel, CDA
Title
Practice Administrator
Phone
(212) 326-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 040566-1 NY Primary

Addresses

Primary practice location

16 East 60TH. Street
Suite # 380
New York, NY 10022

Mailing address

16 East 60TH. Street
Suite # 380
New York, NY 10022
Phone (212) 326-8520

National Provider Directory

National Provider Directory

Locations

16 E 60th St
Ste 380
New York, NY 10022
Phone (212) 326-8520

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417159104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EAST 60TH. STREET",
            "address_2": "SUITE # 380",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-326-8520",
            "fax_number": "212-326-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EAST 60TH. STREET",
            "address_2": "SUITE # 380",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-326-8520",
            "fax_number": "212-326-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "DAVIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "212-326-8520",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "040566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.