Montauk Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058011 Issued in NY

Legal business name

MONTAUK DENTAL, P.C.

Practice address

15 S Embassy St
Montauk, NY 11954-5186

Phone

(631) 668-5959

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Kathryn Mirras, DMD

Title

Secretary

Phone

(631) 682-1831

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Daniel Michael Vasti, DDS

  • General Practice Dentistry
  • Montauk, NY
  • NPI 1003989484
  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1003357674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S EMBASSY ST",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545186",
            "telephone_number": "631-668-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S EMBASSY ST",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545186",
            "telephone_number": "631-668-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAUK DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "MIRRAS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "631-682-1831",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Albert Lane, M.D.
• Rachel Elizabeth Lys, P.T.
• Donald Marrone, M.D.
• Meghan Ryan Physical Therapy, PC
• Meghan Walsh PT PLLC
• Montauk Drug Inc
• Montauk Medical Care PC
• Rosemary Moore, LMT
• Emma Nunez Friedberg, LCSW
• Barbara Ohayon, LMT

• General Practice Dentistry in Montauk, NY
• Providers in Montauk, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.