Individual provider Active NPI

Robert T. Gold, D.D.S.

  • General Practice Dentistry
  • Croton on Hudson, NY
National Provider Identifier
1699765370
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049825 Issued in NY
Practice address
25 King St
Croton on Hudson, NY 10520-2115
Phone
(914) 393-0295
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049825 NY Primary

Addresses

Primary practice location

25 King St
Croton on Hudson, NY 10520-2115

Mailing address

25 King St
Croton on Hudson, NY 10520-2115
Phone (914) 271-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629002137 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991017287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1699765370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KING ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202115",
            "telephone_number": "914-271-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KING ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202115",
            "telephone_number": "914-393-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ROBERT",
        "middle_name": "T.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.