Organization Active NPI

Broadway Dental Associates

  • Dentist
  • White Plains, NY
National Provider Identifier
1649513755
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BROADWAY DENTAL ASSOCIATES
Practice address
7-11 S Broadway
Suite 104
White Plains, NY 10601-3531
Phone
(914) 290-6545
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Andrew Benjamin, DDS
Title
Ceo
Phone
(914) 290-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7-11 S Broadway
Suite 104
White Plains, NY 10601-3531

Mailing address

7-11 S Broadway
Suite 104
White Plains, NY 10601-3531
Phone (914) 290-6545

National Provider Directory

National Provider Directory

Locations

7-11 S Broadway
Ste 104
White Plains, NY 10601
Phone (914) 263-3071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1649513755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7-11 S BROADWAY",
            "address_2": "SUITE 104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013531",
            "telephone_number": "914-290-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7-11 S BROADWAY",
            "address_2": "SUITE 104",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013531",
            "telephone_number": "914-290-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-290-6545",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.