Active NPI
North Chautauqua Dental PLC
- Dentist
- Dunkirk, NY
National Provider Identifier
1871969378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058063
- 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 PLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Dunkirk, NY
- NPI 1538566963
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 058063 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952491763 | Medicaid | NY | |
| 1124345244 | Medicaid | NY | |
| 1396004693 | Medicaid | NY |
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.