Individual provider Active NPI

Alla Cheban, DDS

  • Dentist
  • Croton on Hudson, NY
National Provider Identifier
1780951855
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
062085 Issued in NY
Practice address
2042 Albany Post Rd Ste 3
Croton on Hudson, NY 10520-1169
Phone
(914) 734-9557
Fax
(914) 734-1529
NPI assigned
Nov 17, 2011
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 062085 NY Primary

Addresses

Primary practice location

2042 Albany Post Rd Ste 3
Croton on Hudson, NY 10520-1169

Mailing address

2042 Albany Post Rd Ste 3
Croton on Hudson, NY 10520-1169
Phone (917) 498-8606

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
062085NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1780951855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 ALBANY POST RD STE 3",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201169",
            "telephone_number": "917-498-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 ALBANY POST RD STE 3",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201169",
            "telephone_number": "914-734-9557",
            "fax_number": "914-734-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBAN",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.