NPIMap

Organization Active NPI

Capital Area Hudson Valley Ny Dental PC

  • Dentist
  • Amherst, MA
National Provider Identifier
1588905186
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856165 Issued in MA
Legal business name
CAPITAL AREA HUDSON VALLEY NY DENTAL PC
Doing business as
1st Advantage Dental
Practice address
31 Hall Dr # B
Amherst, MA 01002-2751
Phone
(413) 253-9505
Fax
(413) 256-3188
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. G Stephen Knoll
Title
PC President
Phone
(518) 587-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1856165 MA Primary

Addresses

Primary practice location

31 Hall Dr # B
Amherst, MA 01002-2751

Mailing address

6 Executive Park Dr
Suite C
Clifton Park, NY 12065-5601
Phone (518) 348-0240

Other names 1

  • 1st Advantage Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental PC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

31 Hall Dr
#B
Amherst, MA 01002
Phone (413) 253-9505

6 Executive Park Dr
Ste C
Halfmoon, NY 12065

Practitioners & affiliated clinicians

Practitioners 6

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": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1588905186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR",
            "address_2": "SUITE C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655601",
            "telephone_number": "518-348-0240",
            "fax_number": "518-348-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR # B",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022751",
            "telephone_number": "413-253-9505",
            "fax_number": "413-256-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PC PRESIDENT",
        "authorized_official_telephone_number": "518-587-3831",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.