Organization Active NPI

Patrick J. Esmond DDS, PLLC

  • Dentist
  • Queensbury, NY
National Provider Identifier
1598985137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013850 Issued in NY
Legal business name
PATRICK J. ESMOND DDS, PLLC
Practice address
453 Dixon Rd
Suite 5
Queensbury, NY 12804-1964
Phone
(518) 792-1108
Fax
(518) 798-4670
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick J. Esmond, DDSNPI 1881602860
Title
Owner
Phone
(518) 792-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 013850 NY Primary

Addresses

Primary practice location

453 Dixon Rd
Suite 5
Queensbury, NY 12804-1964

Mailing address

453 Dixon Rd
Suite 5
Queensbury, NY 12804-1964
Phone (518) 792-1108

Other identifiers 2

IdentifierTypeStateIssuer
1073640231OtherNYDENTIST
1881602860OtherNYDENTIST

Other names 1

  • Patrick J. Esmond DDS Doing business as

National Provider Directory

National Provider Directory

Locations

453 Dixon Rd
Ste 5
Queensbury, NY 12804
Phone (518) 792-1108

Practitioners & affiliated clinicians

Practitioners 2

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598985137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "address_2": "SUITE 5",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-792-1108",
            "fax_number": "518-798-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "address_2": "SUITE 5",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041964",
            "telephone_number": "518-792-1108",
            "fax_number": "518-798-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. ESMOND DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESMOND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-792-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "013850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1073640231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1881602860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick J. Esmond DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.