Individual provider Active NPI

Bart M Rizzuto, DDS

  • Endodontics
  • Niskayuna, NY
National Provider Identifier
1679741284
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
044203 Issued in NY
Practice address
2317 Balltown Rd
Suite 201
Niskayuna, NY 12309-2339
Phone
(518) 377-1234
Fax
(518) 382-2569
NPI assigned
Feb 16, 2008
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 044203 NY Primary

Addresses

Primary practice location

2317 Balltown Rd
Suite 201
Niskayuna, NY 12309-2339

Mailing address

2317 Balltown Rd
Suite 201
Niskayuna, NY 12309-2339
Phone (518) 377-1234

Other identifiers 1

IdentifierTypeStateIssuer
044203OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044203NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital District Endodontics, PC Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1679741284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BALLTOWN RD",
            "address_2": "SUITE 201",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092339",
            "telephone_number": "518-377-1234",
            "fax_number": "518-382-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BALLTOWN RD",
            "address_2": "SUITE 201",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092339",
            "telephone_number": "518-377-1234",
            "fax_number": "518-382-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZUTO",
        "first_name": "BART",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-16",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "044203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "044203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.