Organization Active NPI

Latham Periodontics

  • Dental Clinic/Center
  • Latham, NY
National Provider Identifier
1467836874
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
051459 Issued in NY
Legal business name
LATHAM PERIODONTICS
Practice address
815 Troy Schenectady Rd
Latham, NY 12110-2445
Phone
(518) 785-1067
Fax
(518) 782-9309
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Jang Choi, DMD
Title
Dentist
Phone
(518) 785-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 051459 NY Primary

Addresses

Primary practice location

815 Troy Schenectady Rd
Latham, NY 12110-2445

Mailing address

815 Troy Schenectady Rd
Latham, NY 12110-2445
Phone (518) 785-1067

National Provider Directory

National Provider Directory

Locations

815 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 785-1067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1467836874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102445",
            "telephone_number": "518-785-1067",
            "fax_number": "518-782-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102445",
            "telephone_number": "518-785-1067",
            "fax_number": "518-782-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHAM PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JANG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "518-785-1067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "051459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.