Active NPI
W Dental
- General Practice Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 36042-1
- Legal business name
- W DENTAL
- Practice address
- 706 St. Nicholas Ave
New York, NY 10031 - Phone
- (212) 939-9399
- Fax
- (212) 939-9366
- NPI assigned
- Mar 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George A Williams Jr., DMD
- Title
- D.M.D.
- Phone
- (212) 939-9399
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 36042-1 | NY | Primary |
Addresses
Primary practice location
706 St. Nicholas Ave
New York, NY 10031
Mailing address
706 St. Nicholas Ave
New York, NY 10031
Phone (212) 939-9399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02578545 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- W Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- New York, NY
- NPI 1699219600
Locations
706 Saint Nicholas Ave
New York, NY 10031
Phone (212) 939-9399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1710187091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395187200000",
"number": "1417374182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 ST. NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "212-939-9399",
"fax_number": "212-939-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 ST. NICHOLAS AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "212-939-9399",
"fax_number": "212-939-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "D.M.D.",
"authorized_official_telephone_number": "212-939-9399",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "36042-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02578545",
"state": "NY"
}
],
"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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.