NPIMap

Organization Active NPI

New Country Dental Group

  • General Practice Dentistry
  • Cicero, NY
National Provider Identifier
1669500112
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040268 Issued in NY
Legal business name
NEW COUNTRY DENTAL GROUP
Practice address
5972 Route 31
Cicero, NY 13039
Phone
(315) 699-1100
Fax
(315) 699-4557
NPI assigned
Feb 28, 2007
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. Seada Damiano, DDSNPI 1982942124
Title
President
Phone
(315) 699-1100

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 SINGLE SPECIALTY GROUP 1223G0001X 040268 NY Primary

Addresses

Primary practice location

5972 Route 31
Cicero, NY 13039

Mailing address

5972 Route 31
Cicero, NY 13039
Phone (315) 699-1100

National Provider Directory

National Provider Directory
Tax ID family
New Country Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5972 State Route 31
Cicero, NY 13039
Phone (315) 698-4888

Practitioners & affiliated clinicians

Practitioners 4

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1669500112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5972 ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-699-1100",
            "fax_number": "315-699-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5972 ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-699-1100",
            "fax_number": "315-699-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW COUNTRY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "DAMIANO",
        "authorized_official_first_name": "SEADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-699-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

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