Active NPI
Palma and Nardozza Dental Services
- General Practice Dentistry
- Baldwinsville, NY
National Provider Identifier
1851025324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PALMA AND NARDOZZA DENTAL SERVICES
- Practice address
- 30 W Genesee St
Baldwinsville, NY 13027-1126 - Phone
- (315) 635-3671
- Fax
- (315) 635-6482
- NPI assigned
- Jul 12, 2022
- Organization subpart
- Yes
- Parent organization
- PALMA AND NARDOZZA DENTAL SERVICES PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen L Manning
- Title
- Authorized Offical
- Phone
- (215) 798-3974
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
30 W Genesee St
Baldwinsville, NY 13027-1126
Mailing address
PO Box 4008
Lancaster, PA 17604-4008
Phone (315) 635-3671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042879 | Other | NY | NEW YORK STATE BOARD OF DENTISTRY |
Other names 1
- Baldwinsville Gentle Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Palma and Nardozza Dental Services
- Part of
- Palma and Nardozza Dental Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Solvay, NY
- NPI 1336708965
-
- General Practice Dentistry
- Syracuse, NY
- NPI 1497488084
-
- General Practice Dentistry
- Central Square, NY
- NPI 1871226464
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- Solvay, NY
- NPI 1336708965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1851025324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4008",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176044008",
"telephone_number": "315-635-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W GENESEE ST",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271126",
"telephone_number": "315-635-3671",
"fax_number": "315-635-6482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMA AND NARDOZZA DENTAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALMA AND NARDOZZA DENTAL SERVICES PC",
"enumeration_date": "2022-07-12",
"last_updated": "2023-08-14",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUTHORIZED OFFICAL",
"authorized_official_telephone_number": "215-798-3974",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE BOARD OF DENTISTRY",
"identifier": "042879",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baldwinsville Gentle Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baldwinsville Gentle Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.