NPIMap

Organization Active NPI

Jason T. Decker, DDS and Nancy a. Cavotta DDS, PC.

Doing business as Capital District Pediatric Dentistry

  • Pediatric Dentistry
  • Latham, NY
National Provider Identifier
1902942246
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
047070 Issued in NY
Legal business name
JASON T. DECKER, DDS AND NANCY A. CAVOTTA DDS, PC.
Doing business as
Capital District Pediatric Dentistry
Practice address
9 Century Hill Dr
Latham, NY 12110-6102
Phone
(518) 785-3911
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason Thomas Decker, D.D.S.NPI 1235275884
Title
President
Phone
(518) 785-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 047070 NY Primary

Addresses

Primary practice location

9 Century Hill Dr
Latham, NY 12110-6102

Mailing address

9 Century Hill Dr
Latham, NY 12110-6102
Phone (518) 785-3911

Other names 1

  • Capital District Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9 Century Hill Dr
Latham, NY 12110
Phone (518) 785-3911

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902942246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106102",
            "telephone_number": "518-785-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106102",
            "telephone_number": "518-785-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T. DECKER, DDS AND NANCY A. CAVOTTA DDS, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-785-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "047070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital District Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.