NPIMap

Organization Active NPI

Empire State Orthodontics, P.C.

Doing business as Duthie Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ithaca, NY
National Provider Identifier
1689339947
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EMPIRE STATE ORTHODONTICS, P.C.
Doing business as
Duthie Orthodontics
Practice address
2 Graham Rd W
Ithaca, NY 14850-1055
Phone
(607) 225-2095
NPI assigned
Nov 2, 2021
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EMPIRE STATE ORTHODONTICS, P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Casey Lonabocker
Title
VP Operations & Strategy
Phone
(617) 535-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2 Graham Rd W
Ithaca, NY 14850-1055

Mailing address

131 Dartmouth St FL 3
Boston, MA 02116-5297
Phone (617) 535-3305

Other practice location 1

13 Arterial E
Auburn, NY 13021-2717
Phone (315) 509-9480

Other names 1

  • Duthie Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Empire State Orthodontics PC4 organizations share this tax ID, including this one
Part of
Empire State Orthodontics PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Arterial E
Auburn, NY 13021
Phone (315) 509-9480

2 Graham Rd W
Ithaca, NY 14850
Phone (607) 225-2095

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1689339947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297",
            "telephone_number": "617-535-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRAHAM RD W",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501055",
            "telephone_number": "607-225-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Arterial E",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212717",
            "country_code": "US",
            "telephone_number": "315-509-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPIRE STATE ORTHODONTICS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPIRE STATE ORTHODONTICS, P.C",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duthie Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duthie Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.