Carolyn Clemenza DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAROLYN CLEMENZA DDS

Practice address

359 E Main St
Suite 2E
Mount Kisco, NY 10549-3028

Phone

(914) 242-3906

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Anthony Dixon Jr.

Title

Administrator

Phone

(914) 242-3906

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Sub Oh, D.M.D.

  • Prosthodontics
  • Mount Kisco, NY
  • NPI 1194101527

  Dentist

  NPD (past)

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1689043960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE 2E",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-242-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E MAIN ST",
            "address_2": "SUITE 2E",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493028",
            "telephone_number": "914-242-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN CLEMENZA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "914-242-3906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.