Organization Active NPI

Delmar Family Dentistry

  • General Practice Dentistry
  • Delmar, NY
National Provider Identifier
1609645290
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DELMAR FAMILY DENTISTRY
Practice address
274 Delaware Ave
Delmar, NY 12054-1436
Phone
(703) 853-8247
NPI assigned
Dec 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Authorized official

Name
Dr. Shazia Khattak, DMDNPI 1194278440
Title
Dentist
Phone
(703) 853-8247

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

274 Delaware Ave
Delmar, NY 12054-1436

Mailing address

62 Spruce St
Clifton Park, NY 12065-1145
Phone (703) 853-8247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703462400000",
    "number": "1609645290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SPRUCE ST",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651145",
            "telephone_number": "703-853-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "703-853-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "KHATTAK",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-853-8247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.