J. Ward Fitzpatrick DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

J. WARD FITZPATRICK DDS

Practice address

123 Pike St
Port Jervis, NY 12771-1824

Phone

(845) 856-3311

Fax

(845) 856-5389

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ward Fitzpatrick, D.D.S.

Title

Owner

Phone

(570) 283-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1720331036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-856-3311",
            "fax_number": "845-856-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711824",
            "telephone_number": "845-856-3311",
            "fax_number": "845-856-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WARD FITZPATRICK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "WARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-283-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.