Adolf Brian Urtula, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053931 Issued in NY

Practice address

603 Greenwich St Ste 1B
New York, NY 10014-7073

Phone

(212) 352-9300

Fax

(212) 352-9303

NPI assigned

Dec 2, 2009

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emagen Dental LLC

  • Periodontics
  • New York, NY
  • NPI 1235646753
  NPD

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1922336957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100147073",
            "telephone_number": "212-352-9300",
            "fax_number": "212-352-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 GREENWICH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100147073",
            "telephone_number": "212-352-9300",
            "fax_number": "212-352-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URTULA",
        "first_name": "ADOLF",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053931",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "053931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Urrutia
• Marisol Urrutia, LMSW
• Ana Ursachi
• Patricia Ursomanno, N.P
• Ailene Ursua
• Gregg Marc Ury, PSY.D.
• Jason Ury
• Wayne Ury, M.D.,
• Anna Uryash
• Abigail Uryga, PA-C

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Mar 22, 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.