NPIMap

Organization Active NPI

Efdg Bath PLLC

  • Dentist
  • Bath, NY
National Provider Identifier
1811235617
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
037637 Issued in NY
Legal business name
EFDG BATH PLLC
Practice address
355 W Morris St
Bath, NY 14810-1029
Phone
(607) 776-6600
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Dr. Edmund E Eaves, DDS
Title
Owner
Phone
(315) 536-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 037637 NY Primary

Addresses

Primary practice location

355 W Morris St
Bath, NY 14810-1029

Mailing address

355 W Morris St
Bath, NY 14810-1029
Phone (607) 776-6600

Other names 1

  • Eaves Family Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

355 W Morris St
Bath, NY 14810
Phone (607) 776-6600

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": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1811235617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W MORRIS ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101029",
            "telephone_number": "607-776-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W MORRIS ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101029",
            "telephone_number": "607-776-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFDG BATH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-536-3341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "037637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eaves Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.