Active NPI
Patrick J Esmond, DDS
- General Practice Dentistry
- Queensbury, NY
National Provider Identifier
1881602860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 031850
- Practice address
- 453 Dixon Rd
Suite 5
Queensbury, NY 12804 - Phone
- (518) 792-1108
- Fax
- (518) 798-4670
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 031850 | NY | Primary |
Addresses
Primary practice location
453 Dixon Rd
Suite 5
Queensbury, NY 12804
Mailing address
453 Dixon Rd
Suite 5
Queensbury, NY 12804
Phone (518) 792-1108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031850 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick J. Esmond DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881602860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 DIXON RD",
"address_2": "SUITE 5",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "12804",
"telephone_number": "518-792-1108",
"fax_number": "518-798-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 DIXON RD",
"address_2": "SUITE 5",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "12804",
"telephone_number": "518-792-1108",
"fax_number": "518-798-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMOND",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "031850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.