NPIMap

Organization Active NPI

Syracuse Dental Associates PLLC

  • General Practice Dentistry
  • Syracuse, NY
National Provider Identifier
1962533547
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052304 Issued in NY
Legal business name
SYRACUSE DENTAL ASSOCIATES PLLC
Practice address
801 N Salina St
Syracuse, NY 13208-2512
Phone
(315) 422-1305
Fax
(315) 422-3133
NPI assigned
Mar 8, 2007
Last updated
Dec 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Mrs. Amy E Winters
Title
Manager
Phone
(315) 422-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 052304 NY Primary

Addresses

Primary practice location

801 N Salina St
Syracuse, NY 13208-2512

Mailing address

PO Box 11170
Syracuse, NY 13218-1170
Phone (315) 422-1305

National Provider Directory

National Provider Directory

Locations

801 N Salina St
Syracuse, NY 13208
Phone (315) 422-1305

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1962533547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11170",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132181170",
            "telephone_number": "315-422-1305",
            "fax_number": "315-422-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082512",
            "telephone_number": "315-422-1305",
            "fax_number": "315-422-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-422-1305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; 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.