Organization Active NPI

Ithaca Dentistry, PLLC

  • Dentist
  • Ithaca, NY
National Provider Identifier
1912775396
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ITHACA DENTISTRY, PLLC
Practice address
310 E Court Street (Downstairs)
Ithaca, NY 14850-4221
Phone
(607) 272-2033
Fax
(607) 272-3757
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Elizabeth Billiot, DDSNPI 1154644284
Title
Owner
Phone
(203) 233-6979

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

310 E Court Street (Downstairs)
Ithaca, NY 14850-4221

Mailing address

310 E Court Street (Downstairs)
Ithaca, NY 14850-4221
Phone (607) 272-2033

Other identifiers 1

IdentifierTypeStateIssuer
03869101MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1912775396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E COURT STREET (DOWNSTAIRS)",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504221",
            "telephone_number": "607-272-2033",
            "fax_number": "607-272-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E COURT STREET (DOWNSTAIRS)",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504221",
            "telephone_number": "607-272-2033",
            "fax_number": "607-272-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHACA DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "BILLIOT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-233-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03869101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.