Active NPI
Northern Catskill Dental PC
- General Practice Dentistry
- Cooperstown, NY
National Provider Identifier
1639488083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.