Harry James Peter Patrick, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

028857 Issued in NY

Practice address

1001 Hanshaw Rd.
Ithaca, NY 14850

Phone

(607) 257-5700

NPI assigned

Sep 29, 2009

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

Other names 1

• Dr. H.J. Peter Patrick Professional name

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1942534524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HANSHAW RD.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-257-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HANSHAW RD.",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-257-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "HARRY",
        "middle_name": "JAMES PETER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.J.",
            "last_name": "PATRICK",
            "middle_name": "PETER",
            "prefix": "DR.",
            "credential": "DD.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jashvin Patel, MD
• Maya Patel
• Susan Paterson, RN
• Pathology Associates of Ithaca PC
• Paths to Wellbeing
• Reena Patro, O.D.
• Marilyn Patterson, LCSW-R
• Randy E Patterson
• Relford Eugene Patterson, M.D.
• Jane Marie Paul, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.