NPIMap

Organization Active NPI

United Cerebral Palsy Assoc of the North Country Inc

Doing business as Cerebral Palsy Association of the North Country Inc

  • Dental Hygienist
  • Canton, NY
National Provider Identifier
1831344704
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
022617-1 Issued in NY
Legal business name
UNITED CEREBRAL PALSY ASSOC OF THE NORTH COUNTRY INC
Doing business as
Cerebral Palsy Association of the North Country Inc
Practice address
4 Commerce Lane
Canton, NY 13617
Phone
(315) 386-8191
Fax
(315) 386-1410
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Julie Anne Weaver, RDH
Title
Dential Hygienist
Phone
(315) 771-3794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 022617-1 NY Primary

Addresses

Primary practice location

4 Commerce Lane
Canton, NY 13617

Mailing address

4 Commerce Lane
Canton, NY 13617
Phone (315) 386-8191

Other identifiers 1

IdentifierTypeStateIssuer
01995615MedicaidNY

Other names 1

  • Cerebral Palsy Association of the North Country Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Association of the North Country3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4 Commerce Ln
Canton, NY 13617
Phone (315) 386-1156

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1831344704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COMMERCE LANE",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-8191",
            "fax_number": "315-386-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMMERCE LANE",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-8191",
            "fax_number": "315-386-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOC OF THE NORTH COUNTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIAL HYGIENIST",
        "authorized_official_telephone_number": "315-771-3794",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "022617-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01995615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebral Palsy Association of the North Country Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.