NPIMap

Organization Active NPI

Capital Area Hudson Valley Ny Dental

  • Dentist
  • Greenfield, MA
National Provider Identifier
1831430511
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1856165 Issued in MA
Legal business name
CAPITAL AREA HUDSON VALLEY NY DENTAL
Doing business as
1st Advantage Dental
Practice address
489 Bernardston Rd
Greenfield, MA 01301-1238
Phone
(413) 773-3850
Fax
(413) 773-5300
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. G Stephen Knoll
Title
PC President
Phone
(518) 371-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN1856165 MA Primary

Addresses

Primary practice location

489 Bernardston Rd
Greenfield, MA 01301-1238

Mailing address

6 Executive Park Dr
Suite C
Clifton Park, NY 12065-5601
Phone (518) 248-0240

Other names 1

  • 1st Advantage Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Area Hudson Valley Ny Dental PC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1831430511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR",
            "address_2": "SUITE C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655601",
            "telephone_number": "518-248-0240",
            "fax_number": "518-348-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BERNARDSTON RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011238",
            "telephone_number": "413-773-3850",
            "fax_number": "413-773-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA HUDSON VALLEY NY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PC PRESIDENT",
        "authorized_official_telephone_number": "518-371-8481",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Advantage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.