Organization Active NPI

Rivoli Dental of Glens Falls PC

  • General Practice Dentistry
  • Glens Falls, NY
National Provider Identifier
1609378231
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVOLI DENTAL OF GLENS FALLS PC
Practice address
54 Sanford St
Glens Falls, NY 12801-2928
Phone
(518) 793-4449
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Mrs. Maureen Ann Zembiec
Title
Insurance Manager
Phone
(585) 278-1017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

54 Sanford St
Glens Falls, NY 12801-2928

Mailing address

77 Nichols St
Spencerport, NY 14559-2156
Phone (585) 278-1000

National Provider Directory

National Provider Directory

Locations

54 Sanford St
Glens Falls, NY 12801
Phone (518) 793-4449

77 Nichols St
Spencerport, NY 14559
Phone (585) 278-1000

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1609378231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NICHOLS ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592156",
            "telephone_number": "585-278-1000",
            "fax_number": "585-352-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SANFORD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012928",
            "telephone_number": "518-793-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVOLI DENTAL OF GLENS FALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "ZEMBIEC",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "585-278-1017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.