Central Square Smiles Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTRAL SQUARE SMILES DENTISTRY

Practice address

653 S Main St
Central Square, NY 13036

Phone

(315) 668-6261

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Kimber Cummings, RDH

Title

Office Manager

Phone

(315) 638-0276

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Joseph Demauro, DDS

  • Dentist
  • Central Square, NY
  • NPI 1609571819
  NPD (past)
• Fred Elliot Rich, DDS

  • Dentist
  • Central Square, NY
  • NPI 1326130287
  NPD (past)
• Mark Vanmarter, DDS

  • General Practice Dentistry
  • Fulton, NY
  • NPI 1821748377

  General Practice

  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1851896567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 S MAIN ST",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "13036",
            "telephone_number": "315-668-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 S MAIN ST",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "13036",
            "telephone_number": "315-668-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SQUARE SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-638-0276",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Marie Burton, LPN
• Olessia Xenia Butenko, OD
• Central Square Central School District
• Central Square Dental Associates
• Central Square Family Chiropractic, PC
• Cherice Stebbins NP in Family Health PLLC
• Anton Chertkovsky, PA
• Childers Professional Service LLC
• F. Diane Cloyd, RN
• Cltoperations, LLC

• All providers in Central Square, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.