Edward Jack Dweck, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

021434 Issued in NY

Practice address

520 Route 67
Malta, NY 12020

Phone

(518) 899-7739

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James P. Reynolds, DDS, PLLC

  • General Practice Dentistry
  • Ballston Spa, NY
  • NPI 1225168685

  General Practice

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700960929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 ROUTE 9P",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128667226",
            "telephone_number": "518-899-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ROUTE 67",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-899-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWECK",
        "first_name": "EDWARD",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "021434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonny Decastro, RPH
• Johnna Delevan, MS, ED
• Taylor Lee Dorado, PT, DPT
• Aurdey Dumary
• John Durden, MSW
• Kira Edmonds
• Edwards Mental Health Counseling PLLC
• Nicole Edwards, M.A.
• Samantha Ann Eggers, RN
• Ellis Hospital

• All providers in Malta, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.