Individual provider Active NPI

Nadesca M. Duluc, D.D.S.

  • General Practice Dentistry
  • Spring Valley, NY
National Provider Identifier
1477698132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044359 Issued in NY
Practice address
37 Kennedy Dr
Spring Valley, NY 10977-5319
Phone
(845) 352-0714
Fax
(845) 352-1439
NPI assigned
Feb 20, 2007
Sex
Female
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 044359 NY Primary

Addresses

Primary practice location

37 Kennedy Dr
Spring Valley, NY 10977-5319

Mailing address

37 Kennedy Dr
Spring Valley, NY 10977-5319
Phone (845) 352-0714

Other identifiers 1

IdentifierTypeStateIssuer
01485703MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044359NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Springvalleydentalcarepc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477698132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775319",
            "telephone_number": "845-352-0714",
            "fax_number": "845-352-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KENNEDY DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775319",
            "telephone_number": "845-352-0714",
            "fax_number": "845-352-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULUC",
        "first_name": "NADESCA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485703",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, 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.