NPIMap

Organization Active NPI

Marley M Rinoldo DDS PC

Doing business as Lyndon Family Dental

  • Dental Clinic/Center
  • Fayetteville, NY
National Provider Identifier
1649713843
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARLEY M RINOLDO DDS PC
Doing business as
Lyndon Family Dental
Practice address
6844 E Genesee St
Fayetteville, NY 13066-1031
Phone
(315) 449-0711
Fax
(315) 446-8394
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Mrs. Marley M Rinoldo, DDSNPI 1982837308
Title
President
Phone
(315) 529-1973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6844 E Genesee St
Fayetteville, NY 13066-1031

Mailing address

6844 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 449-0711

Other identifiers 1

IdentifierTypeStateIssuer
1982837308OtherNYMARLEY M RINOLDO DDS PC

Other names 1

  • Lyndon Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6844 E Genesee St
Fayetteville, NY 13066
Phone (315) 449-0711

Practitioners & affiliated clinicians

Practitioners 3

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1649713843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661031",
            "telephone_number": "315-449-0711",
            "fax_number": "315-446-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661031",
            "telephone_number": "315-449-0711",
            "fax_number": "315-446-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEY M RINOLDO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "RINOLDO",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-529-1973",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARLEY M RINOLDO DDS PC",
            "identifier": "1982837308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyndon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.