Organization Active NPI

Oris Dental of Orange County PLLC

Doing business as Aspen Dental

  • General Practice Dentistry
  • Middletown, NY
National Provider Identifier
1679942288
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52828 Issued in NY
Legal business name
ORIS DENTAL OF ORANGE COUNTY PLLC
Doing business as
Aspen Dental
Practice address
61 Orange Plaza LN
Middletown, NY 10940-2254
Phone
(845) 344-3844
Fax
(845) 344-4622
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Ms. Jamie Sobon
Title
Enrollment Specialist
Phone
(315) 454-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52828 NY Primary

Addresses

Primary practice location

61 Orange Plaza LN
Middletown, NY 10940-2254

Mailing address

61 Orange Plaza LN
Middletown, NY 10940-2254
Phone (845) 344-3844

Other names 1

  • Aspen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

61 Orange Plaza Ln
Middletown, NY 10940
Phone (845) 344-3844

Practitioners & affiliated clinicians

Practitioners 2

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": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1679942288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ORANGE PLAZA LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402254",
            "telephone_number": "845-344-3844",
            "fax_number": "845-344-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ORANGE PLAZA LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402254",
            "telephone_number": "845-344-3844",
            "fax_number": "845-344-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIS DENTAL OF ORANGE COUNTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SOBON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "52828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.