Organization Active NPI

Northern Catskill Dental PC

  • General Practice Dentistry
  • Cooperstown, NY
National Provider Identifier
1639488083
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHERN CATSKILL DENTAL PC
Practice address
6 Doubleday CT
Cooperstown, NY 13326-1223
Phone
(607) 547-2313
Fax
(607) 547-6251
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Dr. Nicholas Zacharczenko
Title
Owner
Phone
(607) 547-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6 Doubleday CT
Cooperstown, NY 13326-1223

Mailing address

6 Doubleday CT
Cooperstown, NY 13326-1223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1639488083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DOUBLEDAY CT",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOUBLEDAY CT",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261223",
            "telephone_number": "607-547-2313",
            "fax_number": "607-547-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CATSKILL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "ZACHARCZENKO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-547-2313",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.