Organization Active NPI

Harriman Family Dental

  • Dentist
  • Harriman, NY
National Provider Identifier
1891151841
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049205 Issued in NY
Legal business name
HARRIMAN FAMILY DENTAL
Practice address
96 Route 17M
Harriman, NY 10926-3316
Phone
(845) 783-6466
Fax
(845) 783-6468
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Marlen Martirossian, D.D.S.
Title
Owner/President
Phone
(845) 783-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049205 NY Primary

Addresses

Primary practice location

96 Route 17M
Harriman, NY 10926-3316

Mailing address

96 Route 17M
Harriman, NY 10926-3316
Phone (845) 783-6466

National Provider Directory

National Provider Directory

Locations

96 Route 17M
Harriman, NY 10926
Phone (845) 783-6466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1891151841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ROUTE 17M",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263316",
            "telephone_number": "845-783-6466",
            "fax_number": "845-783-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ROUTE 17M",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263316",
            "telephone_number": "845-783-6466",
            "fax_number": "845-783-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIMAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MARTIROSSIAN",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "845-783-6466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.