Active NPI
Radiance Dental P.C.
- General Practice Dentistry
- Scarsdale, NY
National Provider Identifier
1437336997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043027-1
- Legal business name
- RADIANCE DENTAL P.C.
- Practice address
- 455 Central Park Ave
Suite 309
Scarsdale, NY 10583-1060 - Phone
- (914) 309-7922
- NPI assigned
- Jan 28, 2008
- 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
- Dr. Madelon Ruth Murphy, DMD
- Title
- Ceo
- Phone
- (914) 309-7922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043027-1 | NY | Primary |
Addresses
Primary practice location
455 Central Park Ave
Suite 309
Scarsdale, NY 10583-1060
Mailing address
455 Central Park Ave
Suite 309
Scarsdale, NY 10583-1060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376533125 | Other | NY | NPI TYPE 1 |
| 01433632 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464739200000",
"number": "1437336997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CENTRAL PARK AVE",
"address_2": "SUITE 309",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CENTRAL PARK AVE",
"address_2": "SUITE 309",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105831060",
"telephone_number": "914-309-7922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANCE DENTAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2016-06-01",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "MADELON",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "914-309-7922",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043027-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1376533125",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01433632",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.