Organization Active NPI

Ny Metro Dental, PC

  • Dentist
  • New York, NY
National Provider Identifier
1881228187
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NY METRO DENTAL, PC
Doing business as
Concerned Dental Care of Upper West Side
Practice address
657 Amsterdam Ave
New York, NY 10025-7448
Phone
(413) 382-7022
NPI assigned
Feb 25, 2020
Organization subpart
Yes
Parent organization
NY METRO DENTAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Amy Cadieux
Title
Reg. MGR
Phone
(413) 382-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

657 Amsterdam Ave
New York, NY 10025-7448

Mailing address

330 Whitney Ave Ste 740
Holyoke, MA 01040-2789

Other names 1

  • Concerned Dental Care of Upper West Side Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ny Metro Dental PC10 organizations share this tax ID, including this one
Part of
Ny Metro Dental PC

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1881228187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WHITNEY AVE STE 740",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257448",
            "telephone_number": "413-382-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY METRO DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NY METRO DENTAL, PC",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "CADIEUX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REG. MGR",
        "authorized_official_telephone_number": "413-382-7022"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concerned Dental Care of Upper West Side",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.