Active NPI
George Menken DDS PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- New City, NY
National Provider Identifier
1487741831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 18934
- Legal business name
- GEORGE MENKEN DDS PC
- Practice address
- 180 Phillips Hill Road
New City, NY 10956 - Phone
- (845) 634-2929
- Fax
- (845) 634-2934
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Menken, DDS PC
- Title
- President
- Phone
- (845) 634-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18934 | NY | Primary |
Addresses
Primary practice location
180 Phillips Hill Road
New City, NY 10956
Mailing address
180 Phillips Hill Road
New City, NY 10956
Phone (845) 634-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052966Z | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487741831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PHILLIPS HILL ROAD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-634-2929",
"fax_number": "845-634-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PHILLIPS HILL ROAD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-634-2929",
"fax_number": "845-634-2934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE MENKEN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENKEN",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-634-2929",
"authorized_official_credential": "DDS PC"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "18934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052966Z",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.