Organization Active NPI

Gentle Dental of the Hudson Valley

  • Dentist
  • Poughkeepsie, NY
National Provider Identifier
1801182894
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009284 Issued in NY
Legal business name
GENTLE DENTAL OF THE HUDSON VALLEY
Practice address
13 Market St
Poughkeepsie, NY 12601-3207
Phone
(845) 849-0403
Fax
(845) 849-0488
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Melinda Colon
Title
Office Manager
Phone
(845) 849-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 009284 NY Primary

Addresses

Primary practice location

13 Market St
Poughkeepsie, NY 12601-3207

Mailing address

13 Market St
Poughkeepsie, NY 12601-3207
Phone (845) 849-0403

Other identifiers 1

IdentifierTypeStateIssuer
1669632352MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1801182894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MARKET ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013207",
            "telephone_number": "845-849-0403",
            "fax_number": "845-849-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MARKET ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013207",
            "telephone_number": "845-849-0403",
            "fax_number": "845-849-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL OF THE HUDSON VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-849-0403"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "009284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669632352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.