Organization Active NPI

American Family Dentistry LLC

  • Dentist
  • Waverly, IA
National Provider Identifier
1760925523
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMERICAN FAMILY DENTISTRY LLC
Practice address
325 21St St NW Unit B
Waverly, IA 50677-2019
Phone
(914) 420-2053
NPI assigned
Nov 28, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Avijit Goel, DMDNPI 1982785564
Title
Managing Member
Phone
(914) 420-2053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

325 21St St NW Unit B
Waverly, IA 50677-2019

Mailing address

325 21St St NW Unit B
Waverly, IA 50677-2019
Phone (914) 420-2053

National Provider Directory

National Provider Directory

Locations

325 21st St NW
Ste B
Waverly, IA 50677
Phone (914) 420-2053

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1760925523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 21ST ST NW UNIT B",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772019",
            "telephone_number": "914-420-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 21ST ST NW UNIT B",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772019",
            "telephone_number": "914-420-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "AVIJIT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "914-420-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.