NPIMap

Organization Active NPI

Saratoga County Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Saratoga Springs, NY
National Provider Identifier
1639196637
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SARATOGA COUNTY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Practice address
4 Care LN
Saratoga Springs, NY 12866-8624
Phone
(518) 583-4497
Fax
(518) 583-3779
NPI assigned
Jul 16, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Ms. Danielle L Whitacre
Title
Office Manager
Phone
(518) 583-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4 Care LN
Saratoga Springs, NY 12866-8624

Mailing address

4 Care LN
Saratoga Springs, NY 12866-8624
Phone (518) 583-4497

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2183204Saratoga County Oral & Maxillofacial Surgery Assoc4 Care Lane, Saratoga Springs, NY 12866Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

4 Care Ln
Saratoga Springs, NY 12866
Phone (518) 583-4497

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1639196637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARE LN",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668624",
            "telephone_number": "518-583-4497",
            "fax_number": "518-583-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARE LN",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668624",
            "telephone_number": "518-583-4497",
            "fax_number": "518-583-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA COUNTY ORAL & MAXILLOFACIAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "WHITACRE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-583-4497",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.