Organization Active NPI

Advanced Dental Arts PC

  • Dentist
  • New York, NY
National Provider Identifier
1588087191
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048272 Issued in NY
Legal business name
ADVANCED DENTAL ARTS PC
Practice address
686 Lexington Ave FL 5N
New York, NY 10022-2670
Phone
(212) 230-1226
Fax
(212) 230-1335
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Todd D Bertman, DMD
Title
Owner
Phone
(212) 230-1226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 048272 NY Primary

Addresses

Primary practice location

686 Lexington Ave FL 5N
New York, NY 10022-2670

Mailing address

686 Lexington Ave FL 5N
New York, NY 10022-2670
Phone (212) 230-1226

Other identifiers 1

IdentifierTypeStateIssuer
048272OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

686 Lexington Ave
Fl 5N
New York, NY 10022
Phone (212) 230-1226

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": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1588087191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 LEXINGTON AVE FL 5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222670",
            "telephone_number": "212-230-1226",
            "fax_number": "212-230-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 LEXINGTON AVE FL 5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222670",
            "telephone_number": "212-230-1226",
            "fax_number": "212-230-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "BERTMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-230-1226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "048272",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.