NPIMap

Organization Active NPI

Kletter D.M.D & Levine D.D.S. PC

Doing business as DBA Clifton Park Periodontics

  • Periodontics
  • Clifton Park, NY
National Provider Identifier
1750795530
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KLETTER D.M.D & LEVINE D.D.S. PC
Doing business as
DBA Clifton Park Periodontics
Practice address
983 Route 146
Clifton Park, NY 12065-3616
Phone
(518) 371-3333
NPI assigned
Jun 19, 2014
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
KLETTER D.M.D & LEVINE D.D.S. PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Ms. Heidi Marie Hanna
Title
Office Manager
Phone
(518) 630-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

983 Route 146
Clifton Park, NY 12065-3616

Mailing address

945 Route 146
Suite 100
Clifton Park, NY 12065-3649
Phone (518) 630-5420

Other names 1

  • DBA Clifton Park Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kletter DMD Levine DDS PC3 organizations share this tax ID, including this one
Part of
Kletter DMD Levine DDS PC

Other organizations with this tax ID 2

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

Locations

945 Route 146
Ste 100
Clifton Park, NY 12065
Phone (518) 383-0022

Practitioners & affiliated clinicians

Practitioners 1

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": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1750795530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 ROUTE 146",
            "address_2": "SUITE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653649",
            "telephone_number": "518-630-5420",
            "fax_number": "518-630-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653616",
            "telephone_number": "518-371-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLETTER D.M.D & LEVINE D.D.S. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLETTER D.M.D & LEVINE D.D.S. PC",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-630-5420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Clifton Park Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.