NPIMap

Organization Active NPI

Laafayette Dental Associates

  • Dentist
  • La Fayette, NY
National Provider Identifier
1871706515
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27394 Issued in NY
Legal business name
LAAFAYETTE DENTAL ASSOCIATES
Practice address
2509 Syracuse-Cortland Rd. RT 11
La Fayette, NY 13084-0259
Phone
(315) 677-3113
Fax
(315) 677-3114
NPI assigned
May 8, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Arnold Robert BaumNPI 1326167685
Title
Owner
Phone
(515) 677-3113

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
Dentist 122300000X 27394 NY Primary

Addresses

Primary practice location

2509 Syracuse-Cortland Rd. RT 11
La Fayette, NY 13084-0259

Mailing address

PO Box 259
La Fayette, NY 13084-0259
Phone (315) 677-3113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1871706515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 259",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130840259",
            "telephone_number": "315-677-3113",
            "fax_number": "315-677-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 SYRACUSE-CORTLAND RD. RT 11",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130840259",
            "telephone_number": "315-677-3113",
            "fax_number": "315-677-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAAFAYETTE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-677-3113",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "27394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.