Organization Active NPI

Orange County Dental, P.C.

  • General Practice Dentistry
  • Monroe, NY
National Provider Identifier
1659884104
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
301359 Issued in NY
Legal business name
ORANGE COUNTY DENTAL, P.C.
Practice address
1 Prag Blvd Unit 111
Monroe, NY 10950-8448
Phone
(845) 238-4794
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Jacob Friedman
Title
Officer
Phone
(845) 238-4791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 301359 NY Primary

Addresses

Primary practice location

1 Prag Blvd Unit 111
Monroe, NY 10950-8448

Mailing address

1 Prag Blvd Unit 111
Monroe, NY 10950-8448
Phone (845) 238-4794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1659884104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRAG BLVD UNIT 111",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508448",
            "telephone_number": "845-238-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRAG BLVD UNIT 111",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508448",
            "telephone_number": "845-238-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "845-238-4791"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "301359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.