Active NPI
Emily Kathleen Walsh, DDS
- General Practice Dentistry
- Lagrangeville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 062435
- Practice address
- 1110 State Route 55 Ste 107
Lagrangeville, NY 12540-5048 - Phone
- (845) 486-4572
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RES.004083 | OH | |
| Dentist | 122300000X | 30.026095 | OH | |
| General Practice Dentistry | 1223G0001X | 062435 | NY | Primary |
Addresses
Primary practice location
1110 State Route 55 Ste 107
Lagrangeville, NY 12540-5048
Mailing address
1110 State Route 55 Ste 107
Lagrangeville, NY 12540-5048
Phone (845) 486-4572
Other practice location 1
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 471-5950
Other practice location 2
4550 Belden Village St NW
Canton, OH 44718-2524
Phone (330) 499-4600
Other practice location 3
545 E Aurora Rd
Macedonia, OH 44056-1837
Phone (330) 331-0125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026095 | OH | MD | Dentist |
| RES.004083 | OH | MD | Dentist |
| 062435 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkie Paes, DDS PC | General Practice | Current | Accepting new patients |
| Singular Anesthesia Services, PLLC | Past | Accepting new patients |
Locations
1110 State Route 55
Ste 107
Lagrangeville, NY 12540
Phone (845) 320-5262
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lagrangeville, NY
- NPI 1093583783
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1902467244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 STATE ROUTE 55 STE 107",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405048",
"telephone_number": "845-486-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 STATE ROUTE 55 STE 107",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405048",
"telephone_number": "845-486-4572"
}
],
"practiceLocations": [
{
"address_1": "1320 Mercy Dr NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447082614",
"country_code": "US",
"telephone_number": "330-471-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4550 Belden Village St NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447182524",
"country_code": "US",
"telephone_number": "330-499-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 E Aurora Rd",
"address_purpose": "LOCATION",
"city": "Macedonia",
"state": "OH",
"postal_code": "440561837",
"country_code": "US",
"telephone_number": "330-331-0125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "EMILY",
"middle_name": "KATHLEEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "RES.004083",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026095",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "062435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.