Organization Active NPI

Wallstreet Dental P.C.

  • General Practice Dentistry
  • Schenectady, NY
National Provider Identifier
1982805461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034558 Issued in NY
Legal business name
WALLSTREET DENTAL P.C.
Practice address
3159 Carman Rd
Schenectady, NY 12303-4550
Phone
(518) 370-1202
Fax
(518) 370-1955
NPI assigned
May 30, 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. Vinodkumar D Nagpal, D.D.S.
Title
President
Phone
(518) 370-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 034558 NY Primary

Addresses

Primary practice location

3159 Carman Rd
Schenectady, NY 12303-4550

Mailing address

3159 Carman Rd
Schenectady, NY 12303-4550
Phone (518) 370-1202

Other identifiers 1

IdentifierTypeStateIssuer
00411101MedicaidNY

National Provider Directory

National Provider Directory

Locations

3159 Carman Rd
Schenectady, NY 12303
Phone (518) 370-1202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982805461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 CARMAN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034550",
            "telephone_number": "518-370-1202",
            "fax_number": "518-370-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 CARMAN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034550",
            "telephone_number": "518-370-1202",
            "fax_number": "518-370-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLSTREET DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGPAL",
        "authorized_official_first_name": "VINODKUMAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-370-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00411101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, 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.