NPIMap

Organization Active NPI

Keeseville Dental, PC

  • Dentist
  • Keeseville, NY
National Provider Identifier
1518134667
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047771 Issued in NY
Legal business name
KEESEVILLE DENTAL, PC
Practice address
122 Pleasant St
Keeseville, NY 12944-3730
Phone
(518) 834-7001
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Bruce A Weisberg, D.D.S.NPI 1023285772
Title
Owner
Phone
(518) 834-7001

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047771 NY Primary

Addresses

Primary practice location

122 Pleasant St
Keeseville, NY 12944-3730

Mailing address

122 Pleasant St
Keeseville, NY 12944-3730
Phone (518) 834-7001

National Provider Directory

National Provider Directory

Locations

122 Pleasant St
Keeseville, NY 12944
Phone (518) 834-7001

Practitioners & affiliated clinicians

Practitioners 1

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": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1518134667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PLEASANT ST",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129443730",
            "telephone_number": "518-834-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PLEASANT ST",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129443730",
            "telephone_number": "518-834-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEESEVILLE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-834-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keeseville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.