Organization Active NPI

Wellsville Family Dental PLLC

  • General Practice Dentistry
  • Wellsville, NY
National Provider Identifier
1649849555
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WELLSVILLE FAMILY DENTAL PLLC
Practice address
12 Martin St Ste 1
Wellsville, NY 14895-1057
Phone
(516) 395-5376
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Jatinder Singh, DDSNPI 1659865624
Title
Owner
Phone
(516) 395-5376

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12 Martin St Ste 1
Wellsville, NY 14895-1057

Mailing address

12 Martin St Ste 1
Wellsville, NY 14895-1057
Phone (516) 395-5376

National Provider Directory

National Provider Directory

Locations

12 Martin St
Ste 1
Wellsville, NY 14895
Phone (516) 395-5376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1649849555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST STE 1",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "516-395-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST STE 1",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "516-395-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSVILLE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JATINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-395-5376",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.