Organization Active NPI

Paul Fletcher, D.D.S., P.C.,

  • Periodontics
  • Rye Brook, NY
National Provider Identifier
1952423725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
31144 Issued in NY
Legal business name
PAUL FLETCHER, D.D.S., P.C.,
Practice address
10 Rye Ridge PLZ
Rye Brook, NY 10573-2828
Phone
(914) 253-8020
Fax
(914) 253-9066
NPI assigned
Apr 4, 2007
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
Dr. Paul Fletcher, D.D.S.
Title
Periodontist
Phone
(914) 253-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 31144 NY Primary

Addresses

Primary practice location

10 Rye Ridge PLZ
Rye Brook, NY 10573-2828

Mailing address

10 Rye Ridge PLZ
Rye Brook, NY 10573-2828
Phone (914) 253-8020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952423725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-8020",
            "fax_number": "914-253-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-8020",
            "fax_number": "914-253-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL FLETCHER, D.D.S., P.C.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "914-253-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "31144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, 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.