Organization Active NPI

Patrick a. Micaroni DDS PLLC

  • Dental Clinic/Center
  • New Hartford, NY
National Provider Identifier
1457947525
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PATRICK A. MICARONI DDS PLLC
Practice address
100 Genesee St
New Hartford, NY 13413-2328
Phone
(315) 724-5437
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Patrick Micaroni
Title
President
Phone
(315) 724-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Genesee St
New Hartford, NY 13413-2328

Mailing address

100 Genesee St
New Hartford, NY 13413-2328
Phone (315) 724-5437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1457947525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132328",
            "telephone_number": "315-724-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132328",
            "telephone_number": "315-724-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK A. MICARONI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "MICARONI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-724-5437"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.