NPIMap

Organization Active NPI

Palmyra Family & Cosmetic Dentistry, PLLC

  • General Practice Dentistry
  • Palmyra, NY
National Provider Identifier
1467632828
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037724-1 Issued in NY
Legal business name
PALMYRA FAMILY & COSMETIC DENTISTRY, PLLC
Practice address
102 Hyde Pkwy
Palmyra, NY 14522-1210
Phone
(315) 597-5511
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Carl D. Levy, DMDNPI 1265448138
Title
Member
Phone
(315) 597-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037724-1 NY Primary

Addresses

Primary practice location

102 Hyde Pkwy
Palmyra, NY 14522-1210

Mailing address

102 Hyde Pkwy
Palmyra, NY 14522-1210
Phone (315) 597-5511

National Provider Directory

National Provider Directory

Locations

102 Hyde Pkwy
Palmyra, NY 14522
Phone (315) 597-5511

Practitioners & affiliated clinicians

Practitioners 4

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1467632828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HYDE PKWY",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221210",
            "telephone_number": "315-597-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HYDE PKWY",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221210",
            "telephone_number": "315-597-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA FAMILY & COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "315-597-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.