Individual provider Active NPI

Ivan Stanley Ginder, D.D.S.

  • General Practice Dentistry
  • Beacon, NY
National Provider Identifier
1447298674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032201 Issued in NY
Practice address
33 Henry St
Beacon, NY 12508-3006
Phone
(845) 831-1131
Fax
(845) 831-1131
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032201 NY Primary

Addresses

Primary practice location

33 Henry St
Beacon, NY 12508-3006

Mailing address

33 Henry St
Beacon, NY 12508-3006
Phone (845) 831-1131

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447298674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HENRY ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083006",
            "telephone_number": "845-831-1131",
            "fax_number": "845-831-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HENRY ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083006",
            "telephone_number": "845-831-1131",
            "fax_number": "845-831-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDER",
        "first_name": "IVAN",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, 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.

Verify at the official NPI Registry.