Organization Active NPI

Radiance Dental P.C.

  • General Practice Dentistry
  • Scarsdale, NY
National Provider Identifier
1437336997
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043027-1 Issued in NY
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

Updated by the provider on Jun 1, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1376533125OtherNYNPI TYPE 1
01433632MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.