NPIMap

Organization Active NPI

Saratoga Dental Care PLLC

  • General Practice Dentistry
  • Addison, NY
National Provider Identifier
1528895273
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SARATOGA DENTAL CARE PLLC
Practice address
138 Front St
Addison, NY 14801-1112
Phone
(607) 359-3367
Fax
(607) 359-3399
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Haley Galvin
Title
Revenue Assurance Specialist
Phone
(678) 371-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

138 Front St
Addison, NY 14801-1112

Mailing address

138 Front St
Addison, NY 14801-1112
Phone (607) 359-3367

Other names 1

  • Addison Family Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422001236 NY DME Supplier - Oral Surgery - Dentist 9931624012 Practice locations: Addison, NY

National Provider Directory

National Provider Directory
Tax ID family
Saratoga Dental Care PLLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

138 Front St
Addison, NY 14801
Phone (607) 359-3367

Practitioners & affiliated clinicians

Practitioners 3

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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1528895273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FRONT ST",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148011112",
            "telephone_number": "607-359-3367",
            "fax_number": "607-359-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 FRONT ST",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148011112",
            "telephone_number": "607-359-3367",
            "fax_number": "607-359-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "REVENUE ASSURANCE SPECIALIST",
        "authorized_official_telephone_number": "678-371-5319"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.