Pallavi Narendranath DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050826-1 Issued in NY

Legal business name

PALLAVI NARENDRANATH DDS

Practice address

631 S Main St
Newark, NY 14513-1726

Phone

(315) 331-3552

NPI assigned

May 18, 2008

Last updated

May 18, 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. Pallavi Narendranath, DDS

Title

Owner

Phone

(585) 924-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1912164013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COBBLECREEK RD",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S MAIN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131726",
            "telephone_number": "315-331-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLAVI NARENDRANATH DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "NARENDRANATH",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-924-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050826-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02627672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth A Orlowski, D.O.
• Allison Marie Ortiz, PA-C
• Melody E Osgood, LAC
• Monifi A Osmen
• Hilliary Aileen Ottaviano
• Jacqueline Nicole Palmer, MCMSC, PA-C
• Julie Palmer, PTA
• Zaida H Park, RN
• Annaliese Austin Parker, CCC/SLP
• Kelly Lynn Parker, LMT

• General Practice Dentistry in Newark, NY
• Providers in Newark, 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 May 18, 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.