Marc Purdy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041884 Issued in NY

Practice address

1018 Ellis Hollow Rd
Suite a
Ithaca, NY 14850-2808

Phone

(607) 272-2040

Fax

(607) 272-7516

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922182005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GRANDVIEW DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509751",
            "telephone_number": "607-266-9714",
            "fax_number": "607-272-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 ELLIS HOLLOW RD",
            "address_2": "SUITE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502808",
            "telephone_number": "607-272-2040",
            "fax_number": "607-272-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Proper, NP
• Sara Pruce
• Marisciel N Puguon
• Amara Pulver
• Chris B Purdy, D.D.S.
• Kerrie-Anne Purrier, RN
• Alyssa A Putman, O.D.
• Tiffany Putnam-Northrup, RN
• Elyse Putorti, ATC
• Renee Starrett Qamar, OTRL

• General Practice Dentistry in Ithaca, NY
• Providers in Ithaca, 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 Jul 8, 2007; 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.