NPIMap

Organization Active NPI

Trumansburg Family Dentistry

  • General Practice Dentistry
  • Trumansburg, NY
National Provider Identifier
1689064123
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRUMANSBURG FAMILY DENTISTRY
Practice address
50 E. Main St
Trumansburg, NY 14886
Phone
(607) 387-7821
Fax
(607) 387-9893
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Joanna Hickok
Title
Secretary
Phone
(315) 771-9532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

50 E. Main St
Trumansburg, NY 14886

Mailing address

PO Box 446
50 E. Main St
Trumansburg, NY 14886-0446
Phone (607) 387-7821

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1689064123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "address_2": "50 E. MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148860446",
            "telephone_number": "607-387-7821",
            "fax_number": "607-387-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E. MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "14886",
            "telephone_number": "607-387-7821",
            "fax_number": "607-387-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMANSBURG FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "HICKOK",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "315-771-9532"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.