NPIMap

Organization Active NPI

Illustradent Westchester Dental Services, PLLC

Doing business as Westchester Dental Services

  • General Practice Dentistry
  • White Plains, NY
National Provider Identifier
1457604555
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052858 Issued in NY
Legal business name
ILLUSTRADENT WESTCHESTER DENTAL SERVICES, PLLC
Doing business as
Westchester Dental Services
Practice address
47 Mamaroneck Ave
White Plains, NY 10601-4215
Phone
(914) 997-0566
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Mara Rosenberg, DDSNPI 1710137039
Title
Owner
Phone
(914) 997-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052858 NY Primary

Addresses

Primary practice location

47 Mamaroneck Ave
White Plains, NY 10601-4215

Mailing address

47 Mamaroneck Ave
White Plains, NY 10601-4215
Phone (914) 997-0566

Other names 1

  • Westchester Dental Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cross County Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

47 Mamaroneck Ave
White Plains, NY 10601
Phone (914) 997-0566

Practitioners & affiliated clinicians

Practitioners 1

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": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1457604555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014215",
            "telephone_number": "914-997-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014215",
            "telephone_number": "914-997-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSTRADENT WESTCHESTER DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-997-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.