Organization Active NPI

Simply Dental of Monroe, PLLC

  • General Practice Dentistry
  • Monroe, NY
National Provider Identifier
1871702159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
028107 Issued in NY
Legal business name
SIMPLY DENTAL OF MONROE, PLLC
Practice address
845 State Route 17M
Suite 201
Monroe, NY 10950-1606
Phone
(845) 782-8686
Fax
(845) 783-8457
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Robert Lipman, D.D.S.NPI 1871738732
Title
Member
Phone
(845) 782-8686

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 028107 NY Primary

Addresses

Primary practice location

845 State Route 17M
Suite 201
Monroe, NY 10950-1606

Mailing address

845 State Route 17M
Suite 201
Monroe, NY 10950-1606
Phone (845) 782-8686

National Provider Directory

National Provider Directory

Locations

845 State Route 17M
Ste 201
Monroe, NY 10950
Phone (845) 782-8686

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871702159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "address_2": "SUITE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-8686",
            "fax_number": "845-783-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "address_2": "SUITE 201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-8686",
            "fax_number": "845-783-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DENTAL OF MONROE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-782-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.