NPIMap

Organization Active NPI

Westchester Putnam Endodontics

  • Endodontics
  • Mount Kisco, NY
National Provider Identifier
1679010920
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
028744 Issued in NY
Legal business name
WESTCHESTER PUTNAM ENDODONTICS
Practice address
101 S Bedford Rd
Ste 410
Mount Kisco, NY 10549-3439
Phone
(914) 241-1177
NPI assigned
Jan 25, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Nick MastromihalisNPI 1083838254
Title
Owner/Endodontist
Phone
(914) 241-1177

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
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 028744 NY Primary

Addresses

Primary practice location

101 S Bedford Rd
Ste 410
Mount Kisco, NY 10549-3439

Mailing address

101 S Bedford Rd
Ste 410
Mount Kisco, NY 10549-3439
Phone (914) 241-1177

National Provider Directory

National Provider Directory

Locations

101 S Bedford Rd
Ste 410
Mount Kisco, NY 10549
Phone (914) 241-1177

Practitioners & affiliated clinicians

Practitioners 6

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": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1679010920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD",
            "address_2": "STE 410",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493439",
            "telephone_number": "914-241-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD",
            "address_2": "STE 410",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493439",
            "telephone_number": "914-241-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER PUTNAM ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MASTROMIHALIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "914-241-1177"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "028744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.