Organization Active NPI

Elite Dental & Denture, P.C.

  • General Practice Dentistry
  • Cortland, NY
National Provider Identifier
1780912469
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0489401 Issued in NY
Legal business name
ELITE DENTAL & DENTURE, P.C.
Practice address
13 Clinton Ave
Cortland, NY 13045-2101
Phone
(607) 758-7700
Fax
(607) 758-7704
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Mrs. Kay Singh
Title
Office Manager
Phone
(607) 257-8065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0489401 NY Primary

Addresses

Primary practice location

13 Clinton Ave
Cortland, NY 13045-2101

Mailing address

13 Clinton Ave
Cortland, NY 13045-2101
Phone (607) 758-7700

Other identifiers 1

IdentifierTypeStateIssuer
1053300525MedicaidNY

National Provider Directory

National Provider Directory

Locations

13 Clinton Ave
Cortland, NY 13045
Phone (607) 758-7700

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1780912469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CLINTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452101",
            "telephone_number": "607-758-7700",
            "fax_number": "607-758-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CLINTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452101",
            "telephone_number": "607-758-7700",
            "fax_number": "607-758-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL & DENTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-257-8065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0489401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053300525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.