NPIMap

Organization Active NPI

Family Health Network Dental Office

  • Federally Qualified Health Center (FQHC)
  • Moravia, NY
National Provider Identifier
1992086698
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH NETWORK DENTAL OFFICE
Practice address
23 Central St
Moravia, NY 13118-3427
Phone
(607) 344-0052
Fax
(607) 344-0056
NPI assigned
Sep 8, 2011
Organization subpart
Yes
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Kimberly Osborne
Title
Ceo
Phone
(607) 753-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

23 Central St
Moravia, NY 13118-3427

Mailing address

85 South West Street
Homer, NY 13077-0000
Phone (607) 753-3797

National Provider Directory

National Provider Directory
Tax ID family
Family Health Netwk of8 organizations share this tax ID, including this one
Part of
Family Health Netwk of

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1992086698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTH WEST STREET",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130770000",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CENTRAL ST",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131183427",
            "telephone_number": "607-344-0052",
            "fax_number": "607-344-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH NETWORK DENTAL OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC",
        "enumeration_date": "2011-09-08",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-753-3797"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moravia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.