Chittenango Dental

Primary specialty

DentistTaxonomy code 122300000X

License

049988 Issued in NY

Legal business name

CHITTENANGO DENTAL

Practice address

153 West Genesee Street
Chittenango, NY 13037

Phone

(315) 687-3386

Fax

(315) 687-3387

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By 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

Shamus L Loftus, DDS

Title

Dentist President

Phone

(315) 687-3386

Specialties & licenses 1

Addresses

Other names 1

• Shamus Loftus DDS PC Former legal business name

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932279932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WEST GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037",
            "telephone_number": "315-687-3386",
            "fax_number": "315-687-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WEST GENESEE STREET",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037",
            "telephone_number": "315-687-3386",
            "fax_number": "315-687-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTENANGO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "SHAMUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "315-687-3386",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamus Loftus DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Brown, LPN
• Richard Burgess, R.PH.
• Patricia Ann Calcara, MS OTRL
• Chittenango Center LLC
• Chittenango Central School
• Chittenango Family Dental, P.C
• Chittenango Medical & Wellness Assoc PC (American Medwell)
• Chittenango Medical & Wellness Assoc PC (American Medwell)
• Chittenango Physical Therapy, P.C.
• Suzanne R Cuomo, LPN

• Dentist in Chittenango, NY
• Providers in Chittenango, NY by specialty
• Dentist in New York

• 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.