Pelham Parkway Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PELHAM PARKWAY DENTAL ASSOCIATES PC

Practice address

1088 Morris Park Avenue
Bronx, NY 10461

Phone

(718) 823-8830

Fax

(718) 792-8647

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Stuart Teicher, DDSNPI 1588901771

Title

President

Phone

(718) 823-8830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stuart Teicher, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1588901771
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1790843035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 MORRIS PARK AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-823-8830",
            "fax_number": "718-792-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 MORRIS PARK AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-823-8830",
            "fax_number": "718-792-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PARKWAY DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "TEICHER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-823-8830",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pelham Bay Medical Care for Women PC
• Pelham City Pharmacy Inc
• Pelham Medical Associates, PC
• Pelham Parkway Nursing Care & Rehabilitation Facility, LLC
• Pelham Parkway SC LLC
• Pelham Parkway Vision Center Inc
• Pelham Pharmacy Inc
• Pelham Physical Medicine Inc

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.