NPI Code Detail JSON Logo

1558212951 NPI number — ELM CITY DENTAL CARE, PLLC

NPI Number: 1558212951
Health Care Provider/Practitioner: ELM CITY DENTAL CARE, PLLC

Information about “1558212951” NPI (ELM CITY DENTAL CARE, PLLC) exists in 1558212951 in HTML format HTML  |  1558212951 in plain Text format TXT  |  1558212951 in PDF (Portable Document Format) PDF  |  1558212951 in an XML format XML  formats.

NPI Number : 1558212951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558212951",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELM CITY DENTAL CARE, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10580 W 74TH PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARVADA",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80005-3836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "650 COURT ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEENE",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03431-1759",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-357-0230",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/03/2026",
    "LastUpdateDate": "02/03/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEVY",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "BENJAMIN",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "917-617-1106",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.