Organization Active NPI

Progressive Dental of Binghamton, PLLC

  • General Practice Dentistry
  • Binghamton, NY
National Provider Identifier
1639547649
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROGRESSIVE DENTAL OF BINGHAMTON, PLLC
Practice address
51 Front St
Binghamton, NY 13905-4705
Phone
(607) 724-7166
Fax
(607) 724-7178
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Mike Dean
Title
Business Manager
Phone
(607) 754-2273

Specialties & licenses 1

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

Addresses

Primary practice location

51 Front St
Binghamton, NY 13905-4705

Mailing address

51 Front St
Binghamton, NY 13905-4705
Phone (607) 724-7166

National Provider Directory

National Provider Directory

Locations

51 Front St
Binghamton, NY 13905
Phone (607) 724-7166

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1639547649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054705",
            "telephone_number": "607-724-7166",
            "fax_number": "607-724-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054705",
            "telephone_number": "607-724-7166",
            "fax_number": "607-724-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL OF BINGHAMTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "607-754-2273"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.