Chilmark Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

0399661 Issued in NY

Legal business name

CHILMARK DENTAL PC

Practice address

15 Pleasantville Rd
Ossining, NY 10562

Phone

(914) 941-2200

Fax

(914) 941-5174

NPI assigned

Oct 28, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Etta Joyce Lobel, DMDNPI 1548250624

Title

Dentist

Phone

(914) 941-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Etta Joyce Lobel, DMD

  • Dentist
  • Ossining, NY
  • NPI 1548250624
  Authorized official Same address or phone

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669462750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PLEASANTVILLE RD",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-941-2200",
            "fax_number": "914-941-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PLEASANTVILLE RD",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-941-2200",
            "fax_number": "914-941-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILMARK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOBEL",
        "authorized_official_first_name": "ETTA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "914-941-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0399661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01005196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Champion, M.D.
• Mark Andrew Chanasue, MD
• Margot Rosaria Chauncey, RN, IBCLC
• Michael Franklin Chen-Illamos, MD
• Kevin Yining Chen
• Jie Sue Choi
• Shawn Chouhan
• Alicia Ruth Christian, CPNP-PC
• Grace Naamerley Class-Peters
• Katherine Cardoso Clemente, OTR/L

• Dentist in Ossining, NY
• Providers in Ossining, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.