Individual provider Active NPI

J Seph Anthony Demeo, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton Park, NY
National Provider Identifier
1881919405
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
062946 Issued in NY
Practice address
939 Ny Route 146
Ste 400
Clifton Park, NY 12065
Phone
(518) 631-9771
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT2761 HI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401412896 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DT2761 HI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 062946 NY Primary

Addresses

Primary practice location

939 Ny Route 146
Ste 400
Clifton Park, NY 12065

Mailing address

6 E Hills Blvd
Loudonville, NY 12211-2618
Phone (202) 802-0984

Other practice location 1

1327 Union St
Schenectady, NY 12308-3033
Phone (518) 579-7250

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT2761HIMDOrthodontics and Dentofacial Orthopedic Dentist
062946NYMDOrthodontics and Dentofacial Orthopedic Dentist
0401412896VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthodontic Associates LLC Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1881919405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E HILLS BLVD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122112618",
            "telephone_number": "202-802-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 NY ROUTE 146",
            "address_2": "STE 400",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-631-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Union St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123083033",
            "country_code": "US",
            "telephone_number": "518-579-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMEO",
        "first_name": "J",
        "middle_name": "SEPH ANTHONY",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2761",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401412896",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "DT2761",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "062946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.