Pine Street Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029231 Issued in NY

Legal business name

PINE STREET DENTAL ASSOCIATES, P.C.

Practice address

138 Pine St
Suite 210
Kingston, NY 12401-4947

Phone

(845) 338-6900

Fax

(845) 338-6013

NPI assigned

Feb 24, 2006

Last updated

Sep 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Matthew Fliegler, D.D.S.NPI 1679782940

Title

Dentist, Owner

Phone

(845) 338-6900

Specialties & licenses 7

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles M Fliegler, DDS

  • Dentist
  • Kingston, NY
  • NPI 1679782940
  Authorized official Same address or phone

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1891761318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PINE ST",
            "address_2": "SUITE 210",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014947",
            "telephone_number": "845-338-6900",
            "fax_number": "845-338-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PINE ST",
            "address_2": "SUITE 210",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014947",
            "telephone_number": "845-338-6900",
            "fax_number": "845-338-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE STREET DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "FLIEGLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "845-338-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0526781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029231",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032380",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040046",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0487491",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038724",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "0487491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "040046",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "029231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "044009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "0526781",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "032380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DENTAL LICENSE",
            "identifier": "038724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard K Pickard, M.D.
• Elizabeth Sarah Pickett, CM
• Sharon Pickett, RN
• Melissa Pierce
• Paul K Pietrow, MD
• Pine Street Medical PC
• Pine Street Pediatrics Associates, P.C.
• Pinnacle Taxi Ex
• Cathrine Rose Piotti, RN
• Deniz Piram

• General Practice Dentistry in Kingston, NY
• Providers in Kingston, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.