Organization Active NPI

Terry J Sobler DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New City, NY
National Provider Identifier
1609070697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
28330 Issued in NY
Legal business name
TERRY J SOBLER DMD PC
Practice address
339 N Main St
New City, NY 10956-4300
Phone
(845) 634-3560
Fax
(845) 634-0619
NPI assigned
Jun 13, 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. Terry J Sobler, DMD
Title
Orthodontist
Phone
(845) 634-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 28330 NY Primary

Addresses

Primary practice location

339 N Main St
New City, NY 10956-4300

Mailing address

339 N Main St
New City, NY 10956-4300
Phone (845) 634-3560

Other identifiers 1

IdentifierTypeStateIssuer
00564741MedicaidNY

National Provider Directory

National Provider Directory

Locations

339 N Main St
New City, NY 10956
Phone (845) 634-8209

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609070697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564300",
            "telephone_number": "845-634-3560",
            "fax_number": "845-634-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564300",
            "telephone_number": "845-634-3560",
            "fax_number": "845-634-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY J SOBLER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOBLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "845-634-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "28330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00564741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, 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.