Organization Active NPI

Baljinder Singh DDS PC

  • General Practice Dentistry
  • Cortland, NY
National Provider Identifier
1942291307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049715 Issued in NY
Legal business name
BALJINDER SINGH DDS PC
Practice address
4313 N Homer Ave
Cortland, NY 13045-1078
Phone
(607) 753-9361
Fax
(607) 758-9240
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Baljinder Singh, DDS
Title
Owner
Phone
(607) 753-9361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 049715 NY Primary

Addresses

Primary practice location

4313 N Homer Ave
Cortland, NY 13045-1078

Mailing address

4313 N Homer Ave
Cortland, NY 13045-1078
Phone (607) 753-9361

Other identifiers 2

IdentifierTypeStateIssuer
02633012MedicaidNY
164302OtherFIDELIS DORAL DENTAL

Other names 1

  • Cortland Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baljinder Singh DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4313 N Homer Ave
Cortland, NY 13045
Phone (607) 753-9361

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942291307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 N HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451078",
            "telephone_number": "607-753-9361",
            "fax_number": "607-758-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 N HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451078",
            "telephone_number": "607-753-9361",
            "fax_number": "607-758-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALJINDER SINGH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BALJINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-753-9361",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02633012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS DORAL DENTAL",
            "identifier": "164302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortland Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

  • 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.