Active NPI
Access Family Dental and Dentures
- Dental Clinic/Center
- Phoenix, NY
National Provider Identifier
1891020475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 027837
- Legal business name
- ACCESS FAMILY DENTAL AND DENTURES
- Practice address
- 219 County Route 57
Three Rivers Plaza
Phoenix, NY 13135-3300 - Phone
- (315) 695-2128
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas B. Nolan, DDS
- Title
- Owner
- Phone
- (315) 695-2128
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 027837 | NY | Primary |
| Dentist | 122300000X | 027837 | NY |
Addresses
Primary practice location
219 County Route 57
Three Rivers Plaza
Phoenix, NY 13135-3300
Mailing address
219 County Rte 57
Three Rivers Plaza
Phoenix, NY 13135
Phone (315) 695-2128
National Provider Directory
National Provider DirectoryLocations
219 County Route 57
Ste 3
Phoenix, NY 13135
Phone (315) 695-2128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1891020475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 COUNTY RTE 57",
"address_2": "THREE RIVERS PLAZA",
"city": "PHOENIX",
"state": "NY",
"postal_code": "13135",
"telephone_number": "315-695-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 COUNTY ROUTE 57",
"address_2": "THREE RIVERS PLAZA",
"city": "PHOENIX",
"state": "NY",
"postal_code": "131353300",
"telephone_number": "315-695-2128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS FAMILY DENTAL AND DENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-695-2128",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "027837",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "027837",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.