Provider Type Icon

DR. JAMES D CONDRY D.D.S M.D NPI 1174547152


NPI Information

NPI: 1174547152
Provider Name: DR. JAMES D CONDRY, D.D.S, M.D
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
458 MAPLE AVE
SARATOGA SPRINGS, NY
ZIP 12866
Phone: (518) 793-9424
Get Directions

DR. James D Condry, D.D.S, M.D is a specialist in Saratoga Springs, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. James D Condry, D.D.S, M.D NPI is 1174547152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

458 MAPLE AVE
SARATOGA SPRINGS, NY
ZIP 12866-532
Phone: (518) 793-9424
Fax: (518) 793-9441

The NPI 1174547152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist0482431NEW YORKNo
2174400000XSpecialist2144721NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102856499MEDICAIDNEW YORK
202856504MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.