NPIMap

Individual provider Active NPI

Cleve Ronald Eads, DMD

  • Dentist
  • Saratoga Springs, NY
National Provider Identifier
1598970279
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044287 Issued in NY
Practice address
286 Church St
Saratoga Springs, NY 12866-9208
Phone
(518) 584-8150
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D9127 AZ
Dentist 122300000X 044287 NY Primary

Addresses

Primary practice location

286 Church St
Saratoga Springs, NY 12866-9208

Mailing address

12K Majesty Way
Mechanicville, NY 12118-3160
Phone (518) 859-7795

Other practice location 1

28451 N Vistancia Blvd
Suite 101
Peoria, AZ 85383-2090
Phone (623) 218-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9127AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kletter & Levine PC General Practice Past Accepting new patients
Legacy Smiles, LLP General Practice Past Accepting new patients
Vistancia Dental Group, Professional Corporation General Practice Past Accepting new patients
Singh Smile Care Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1598970279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12K MAJESTY WAY",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183160",
            "telephone_number": "518-859-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669208",
            "telephone_number": "518-584-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28451 N Vistancia Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832090",
            "country_code": "US",
            "telephone_number": "623-218-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EADS",
        "first_name": "CLEVE",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D9127",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.