Organization Active NPI

Gary Epstein DDS PC

  • General Practice Dentistry
  • Malone, NY
National Provider Identifier
1841204492
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
031303 Issued in NY
Legal business name
GARY EPSTEIN DDS PC
Practice address
451 E Main St
Malone, NY 12953-2126
Phone
(518) 483-5958
NPI assigned
Jul 28, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Gary Epstein, DDSNPI 1346506078
Title
Dentist-Owner
Phone
(518) 483-5958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 031303 NY Primary

Addresses

Primary practice location

451 E Main St
Malone, NY 12953-2126

Mailing address

451 E Main St
Malone, NY 12953-2126
Phone (518) 483-5958

Other identifiers 2

IdentifierTypeStateIssuer
00607323MedicaidNY
031303OtherNYNYS LICENSE

National Provider Directory

National Provider Directory

Locations

451 E Main St
Malone, NY 12953
Phone (518) 483-5958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1841204492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532126",
            "telephone_number": "518-483-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532126",
            "telephone_number": "518-483-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY EPSTEIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "518-483-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607323",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "031303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.