NPIMap

Organization Active NPI

Capital Area Hudson Valley New York Dental PC

Doing business as 1st Advantage Dental - Clifton Park

  • General Practice Dentistry
  • Halfmoon, NY
National Provider Identifier
1710020672
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC
Doing business as
1st Advantage Dental - Clifton Park
Practice address
1532 Route 9 Ste 5
Halfmoon, NY 12065-5605
Phone
(518) 371-8481
Fax
(518) 371-6326
NPI assigned
Feb 14, 2007
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1532 Route 9 Ste 5
Halfmoon, NY 12065-5605

Mailing address

1532 Route 9 Ste 5
Halfmoon, NY 12065-5605
Phone (518) 371-8481

Other names 1

  • 1st Advantage Dental - Clifton Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental23 organizations share this tax ID, including this one
Part of
Capital Area Hudson Valley Ny Dental

Other organizations with this tax ID 22

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

View all 22

Locations

1532 Route 9
Ste 5
Halfmoon, NY 12065
Phone (518) 371-8481

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1710020672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 ROUTE 9 STE 5",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655605",
            "telephone_number": "518-371-8481",
            "fax_number": "518-371-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ROUTE 9 STE 5",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655605",
            "telephone_number": "518-371-8481",
            "fax_number": "518-371-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental - Clifton Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.