Active NPI
Tamara Lyn Dunlap DDS PLLC
- General Practice Dentistry
- Johnstown, NY
National Provider Identifier
1942676606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048515
- Legal business name
- TAMARA LYN DUNLAP DDS PLLC
- Practice address
- 310 Jansen Ave
Johnstown, NY 12095-1909 - Phone
- (518) 762-4321
- Fax
- (518) 762-4323
- NPI assigned
- Aug 18, 2015
- Last updated
- Aug 18, 2015
- Organization subpart
- Yes
- Parent organization
- TAMARA LYN DUNLAP DDS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Dunlap
- Title
- Owner/Provider
- Phone
- (518) 762-4321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048515 | NY | Primary |
Addresses
Primary practice location
310 Jansen Ave
Johnstown, NY 12095-1909
Mailing address
310 Jansen Ave
Johnstown, NY 12095-1909
Phone (518) 762-4321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03016277 | Medicaid | NY | |
| 9210579 | Other | NY | DENTAQUEST |
National Provider Directory
National Provider Directory- Part of
- Tamara Lyn Dunlap DDS PLLC
Locations
310 Jansen Ave
Johnstown, NY 12095
Phone (518) 762-4321
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Johnstown, NY
- NPI 1790742567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439856000000",
"number": "1942676606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 JANSEN AVE",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120951909",
"telephone_number": "518-762-4321",
"fax_number": "518-762-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 JANSEN AVE",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120951909",
"telephone_number": "518-762-4321",
"fax_number": "518-762-4323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARA LYN DUNLAP DDS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAMARA LYN DUNLAP DDS PLLC",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A",
"authorized_official_last_name": "DUNLAP",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "518-762-4321"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03016277",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAQUEST",
"identifier": "9210579",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.