Chittenango Family Dental, P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHITTENANGO FAMILY DENTAL, P.C

Practice address

1386 W Genesee St
Chittenango, NY 13037-8763

Phone

(315) 687-3386

Fax

(315) 687-3387

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed A Badawy, D.D.S

Title

President/Dentist

Phone

(315) 687-3386

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1588063697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 W GENESEE ST",
            "address_2": "P.O BOX 440",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-687-3386",
            "fax_number": "315-687-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 W GENESEE ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130378763",
            "telephone_number": "315-687-3386",
            "fax_number": "315-687-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENANGO FAMILY DENTAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BADAWY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "315-687-3386",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Burgess, R.PH.
• Patricia Ann Calcara, MS OTRL
• Chittenango Center LLC
• Chittenango Central School
• Chittenango Dental
• Chittenango Medical & Wellness Assoc PC (American Medwell)
• Chittenango Medical & Wellness Assoc PC (American Medwell)
• Chittenango Physical Therapy, P.C.
• Suzanne R Cuomo, LPN
• Patricia Marie Damon, RN

• General Practice Dentistry in Chittenango, NY
• Providers in Chittenango, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.