Parkway Dental Practice, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

031189 Issued in NY

Legal business name

PARKWAY DENTAL PRACTICE, PC

Practice address

105 Annetta St
Vestal, NY 13850-2301

Phone

(607) 798-7188

Fax

(607) 797-8435

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Harold W Callaghan, DDS

Title

Owner/ President

Phone

(607) 798-7188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leida M Portela, DDS

  • General Practice Dentistry
  • Vestal, NY
  • NPI 1295868818
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639190986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ANNETTA ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502301",
            "telephone_number": "607-798-7188",
            "fax_number": "607-797-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ANNETTA ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502301",
            "telephone_number": "607-798-7188",
            "fax_number": "607-797-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAGHAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "607-798-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhminder Singh Pannu, DDS
• Emily Pardoe, PA
• Roshni Parikh, FNP
• Sarah Elizabeth Park, PA-C
• Woojin Park
• Roberto Francisco Parra, D.M.D.
• Elizabeth Paige Parsons, PH.D.
• Jamie Pastrick, DPT
• Dharmesh R Patel, MD
• Taral A Patel, O.D.

• General Practice Dentistry in Vestal, NY
• Providers in Vestal, NY by specialty
• General Practice Dentistry in New York

• 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.