Organization Active NPI

Access Dental Care PC

  • Dentist
  • Groton, NY
National Provider Identifier
1821344409
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ACCESS DENTAL CARE PC
Practice address
119 W South St
Groton, NY 13073-1234
Phone
(607) 898-5006
Fax
(607) 898-9000
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Neelam A Ali
Title
Office Manager
Phone
(607) 898-5006

Specialties & licenses 1

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

Addresses

Primary practice location

119 W South St
Groton, NY 13073-1234

Mailing address

119 W South St
Groton, NY 13073-1234
Phone (607) 898-5006

Other identifiers 1

IdentifierTypeStateIssuer
02330261MedicaidNY

National Provider Directory

National Provider Directory

Locations

119 W South St
Groton, NY 13073
Phone (607) 898-5006

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": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821344409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W SOUTH ST",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130731234",
            "telephone_number": "607-898-5006",
            "fax_number": "607-898-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W SOUTH ST",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130731234",
            "telephone_number": "607-898-5006",
            "fax_number": "607-898-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-898-5006",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02330261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.