Organization Active NPI

Family Dentistry of Troy, PC

  • Dentist
  • Troy, NY
National Provider Identifier
1992162739
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FAMILY DENTISTRY OF TROY, PC
Practice address
451 Hoosick St
Troy, NY 12180-2102
Phone
(518) 389-2273
Fax
(518) 389-2863
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Natalie Barclay, DDS
Title
DDS/Treasurer
Phone
(518) 389-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

451 Hoosick St
Troy, NY 12180-2102

Mailing address

PO Box 240
Clifton Park, NY 12065-0240
Phone (518) 389-2273

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1992162739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650240",
            "telephone_number": "518-389-2273",
            "fax_number": "518-389-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HOOSICK ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802102",
            "telephone_number": "518-389-2273",
            "fax_number": "518-389-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF TROY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DDS/TREASURER",
        "authorized_official_telephone_number": "518-389-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.