Individual provider Active NPI

Joseph C Rintrona, DDS

  • General Practice Dentistry
  • Old Forge, NY
National Provider Identifier
1780758276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029567 Issued in NY
Practice address
114 S Shore Road
Tow Prof BLDG
Old Forge, NY 13420
Phone
(315) 369-6634
Fax
(315) 369-3198
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
General Practice Dentistry 1223G0001X 029567 NY Primary

Addresses

Primary practice location

114 S Shore Road
Tow Prof BLDG
Old Forge, NY 13420

Mailing address

PO Box 99
Old Forge, NY 13420-0099
Phone (315) 369-6634

Other identifiers 1

IdentifierTypeStateIssuer
00587100MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780758276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "OLD FORGE",
            "state": "NY",
            "postal_code": "134200099",
            "telephone_number": "315-369-6634",
            "fax_number": "315-369-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S SHORE ROAD",
            "address_2": "TOW PROF BLDG",
            "city": "OLD FORGE",
            "state": "NY",
            "postal_code": "13420",
            "telephone_number": "315-369-6634",
            "fax_number": "315-369-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINTRONA",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00587100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Forge, 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.