Active NPI
Tiffany DO, DDS
- Dentist
- Poughkeepsie, NY
National Provider Identifier
1619698461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062740
- Practice address
- 46 Fox St Ste 1
Poughkeepsie, NY 12601-4726 - Phone
- (845) 473-3636
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062740 | NY | Primary |
Addresses
Primary practice location
46 Fox St Ste 1
Poughkeepsie, NY 12601-4726
Mailing address
16506 40TH PL W
Lynnwood, WA 98037-9024
Phone (206) 877-2364
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062740 | NY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1619698461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16506 40TH PL W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980379024",
"telephone_number": "206-877-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FOX ST STE 1",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014726",
"telephone_number": "845-473-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.