NPIMap

Organization Active NPI

Philipse Manor Dental

  • General Practice Dentistry
  • Sleepy Hollow, NY
National Provider Identifier
1629469267
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048001 Issued in NY
Legal business name
PHILIPSE MANOR DENTAL
Practice address
12 Merlin Ave
Sleepy Hollow, NY 10591-1607
Phone
(914) 262-7412
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Dr. Tauseel Khan, DENTISTNPI 1255471389
Title
Owner
Phone
(914) 262-7412

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 048001 NY Primary

Addresses

Primary practice location

12 Merlin Ave
Sleepy Hollow, NY 10591-1607

Mailing address

12 Merlin Ave
Sleepy Hollow, NY 10591-1607
Phone (914) 262-7412

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": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1629469267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MERLIN AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911607",
            "telephone_number": "914-262-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MERLIN AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911607",
            "telephone_number": "914-262-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIPSE MANOR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TAUSEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-262-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.