Active NPI
Rotterdam Dental Associates LLP
- Dentist
- Schenectady, NY
National Provider Identifier
1689922171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046043
- Legal business name
- ROTTERDAM DENTAL ASSOCIATES LLP
- Practice address
- 1400 Altamont Ave
Schenectady, NY 12303-2909 - Phone
- (518) 355-2500
- NPI assigned
- Aug 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ross Krasnov, DDS
- Title
- Owner
- Phone
- (518) 355-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 046043 | NY | Primary |
Addresses
Primary practice location
1400 Altamont Ave
Schenectady, NY 12303-2909
Mailing address
1400 Altamont Ave
Schenectady, NY 12303-2909
Phone (518) 355-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01580001 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344988800000",
"number": "1689922171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ALTAMONT AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123032909",
"telephone_number": "518-355-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 ALTAMONT AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123032909",
"telephone_number": "518-355-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTTERDAM DENTAL ASSOCIATES LLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A",
"authorized_official_last_name": "KRASNOV",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-355-2500",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "046043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01580001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
- Lester Y Rosenzweig, M.S., R.D., C.D.N.
- Nicole Renee Rossi, MS ED.
- Jodi Rossman
- Jessica Lee Roth, M.S. CCC-SLP
- Rotterdam Dental Arts PLLC
- Rotterdam Emergency Medical Services, Inc
- Rotterdam Family Dental
- Rotterdam Mohonasen Central Schools
- Rotterdam Volunteer Emergency Medical Corp
- Bridget M Rourke, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.