Active NPI
Gary Epstein DDS PC
- General Practice Dentistry
- Malone, NY
National Provider Identifier
1841204492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031303
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Epstein, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00607323 | Medicaid | NY | |
| 031303 | Other | NY | NYS LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Malone, NY
- NPI 1346506078
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.