Active NPI
Robert V Forte, DDS
- General Practice Dentistry
- Queensbury, NY
National Provider Identifier
1972517035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23177
- Practice address
- 1092 Route 9
Queensbury, NY 12804 - Phone
- (518) 798-9561
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23177 | NY | Primary |
Addresses
Primary practice location
1092 Route 9
Queensbury, NY 12804
Mailing address
335 Lake Tour Rd
P O Box 160
Lake Luzerne, NY 12846
Phone (518) 696-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00616371 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23177 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Hudson Valley New York Dental PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Queensbury, NY
- NPI 1023031085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972517035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 LAKE TOUR RD",
"address_2": "P O BOX 160",
"city": "LAKE LUZERNE",
"state": "NY",
"postal_code": "12846",
"telephone_number": "518-696-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 ROUTE 9",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "12804",
"telephone_number": "518-798-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTE",
"first_name": "ROBERT",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "23177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00616371",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.