Organization Active NPI

North Chautauqua Dental PLC

  • Dentist
  • Dunkirk, NY
National Provider Identifier
1871969378
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058063 Issued in NY
Legal business name
NORTH CHAUTAUQUA DENTAL PLC
Practice address
744 Central Ave
Dunkirk, NY 14048-2505
Phone
(716) 366-6822
NPI assigned
Aug 19, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Julie Mills
Title
Dentist
Phone
(716) 366-6822

National Provider Directory

National Provider Directory
Tax ID family
North Chautauqua Dental PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 058063 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

744 Central Ave
Dunkirk, NY 14048-2505

Mailing address

744 Central Ave
Dunkirk, NY 14048-2505
Phone (716) 366-6822

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1952491763MedicaidNY
1124345244MedicaidNY
1396004693MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2015.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1871969378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482505",
            "telephone_number": "716-366-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482505",
            "telephone_number": "716-366-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHAUTAUQUA DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "716-366-6822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "058063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952491763",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124345244",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396004693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.