Organization Active NPI

Kalmar Family Dentistry LLP

  • Dentist
  • Huntington, NY
National Provider Identifier
1710093190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
029522 Issued in NY
Legal business name
KALMAR FAMILY DENTISTRY LLP
Practice address
62 Green St
Huntington, NY 11743-6912
Phone
(631) 673-0670
Fax
(631) 673-7091
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Wayne Kalmar, D.D.S.
Title
Proprietor
Phone
(631) 673-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 029522 NY Primary

Addresses

Primary practice location

62 Green St
Huntington, NY 11743-6912

Mailing address

62 Green St
Huntington, NY 11743-6912
Phone (631) 673-0670

Other identifiers 1

IdentifierTypeStateIssuer
0062159MedicaidNY

National Provider Directory

National Provider Directory

Locations

62 Green St
Huntington, NY 11743
Phone (631) 549-0955

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710093190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GREEN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436912",
            "telephone_number": "631-673-0670",
            "fax_number": "631-673-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 GREEN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436912",
            "telephone_number": "631-673-0670",
            "fax_number": "631-673-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALMAR FAMILY DENTISTRY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALMAR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "631-673-0670",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "029522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.