Organization Active NPI

Catskill Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Monticello, NY
National Provider Identifier
1689845455
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
051974 Issued in NY
Legal business name
CATSKILL ORAL SURGERY PC
Practice address
457 Broadway
Ste 17
Monticello, NY 12701-1758
Phone
(845) 791-7360
Fax
(845) 791-7580
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Karl E Krause, DMDNPI 1548330988
Title
Owner
Phone
(845) 791-7360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 051974 NY Primary

Addresses

Primary practice location

457 Broadway
Ste 17
Monticello, NY 12701-1758

Mailing address

457 Broadway Ste 17
Monticello, NY 12701-1758
Phone (845) 791-7360

National Provider Directory

National Provider Directory

Locations

457 Broadway
Ste 17
Monticello, NY 12701
Phone (845) 622-3329

Practitioners & affiliated clinicians

Practitioners 1

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1689845455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 BROADWAY STE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011758",
            "telephone_number": "845-791-7360",
            "fax_number": "845-791-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 BROADWAY",
            "address_2": "STE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011758",
            "telephone_number": "845-791-7360",
            "fax_number": "845-791-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATSKILL ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-791-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.