Individual provider Active NPI

Stanley E Kacherski, DDS MS PC

  • Dentist
  • Hopewell Junction, NY
National Provider Identifier
1720153547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
A032210 Issued in NY
Practice address
129 Clove Branch Rd
Hopewell Junction, NY 12533
Phone
(845) 223-3050
Fax
(845) 223-5350
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X A032210 NY Primary

Addresses

Primary practice location

129 Clove Branch Rd
Hopewell Junction, NY 12533

Mailing address

129 Clove Branch Rd
Hopewell JCT, NY 12533
Phone (845) 223-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A032210NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720153547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CLOVE BRANCH RD",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-223-3050",
            "fax_number": "845-223-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CLOVE BRANCH RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "12533",
            "telephone_number": "845-223-3050",
            "fax_number": "845-223-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHERSKI",
        "first_name": "STANLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS MS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "A032210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • 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.