NPIMap

Organization Active NPI

Clifton Springs Sanitarium Co

  • Dental Clinic/Center
  • Clifton Springs, NY
National Provider Identifier
1588260228
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLIFTON SPRINGS SANITARIUM CO
Doing business as
Clifton Springs Dental
Practice address
2 Coulter Rd Ste 1720
Clifton Springs, NY 14432-1122
Phone
(315) 318-0284
NPI assigned
Dec 8, 2020
Organization subpart
Yes
Parent organization
CLIFTON SPRINGS SANITARIUM COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Nichole S Holder
Title
Director - Payer Enrollment
Phone
(585) 922-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2 Coulter Rd Ste 1720
Clifton Springs, NY 14432-1122

Mailing address

2 Coulter Rd Ste 1720
Clifton Springs, NY 14432-1122
Phone (315) 318-0284

Other names 1

  • Clifton Springs Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clifton Springs Sanitarium Co9 organizations share this tax ID, including this one
Part of
Clifton Springs Sanitarium Co

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1588260228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COULTER RD STE 1720",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-318-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD STE 1720",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-318-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON SPRINGS SANITARIUM CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLIFTON SPRINGS SANITARIUM CO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR - PAYER ENROLLMENT",
        "authorized_official_telephone_number": "585-922-0293"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Springs, NY

Sources for this page

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

Verify at the official NPI Registry.