Organization Active NPI

Access Family Dental and Dentures

  • Dental Clinic/Center
  • Phoenix, NY
National Provider Identifier
1891020475
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
027837 Issued in NY
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.