Individual provider Active NPI

David M Parnagian, D.M.D.

  • Dentist
  • Lindenhurst, NY
National Provider Identifier
1003903337
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040075 Issued in NY
Practice address
600 Wellwood Ave Ste D
Lindenhurst, NY 11757-2000
Phone
(631) 225-1900
Fax
(631) 225-1904
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 040075 NY Primary

Addresses

Primary practice location

600 Wellwood Ave Ste D
Lindenhurst, NY 11757-2000

Mailing address

600 Wellwood Ave Ste D
Lindenhurst, NY 11757-2000
Phone (631) 225-1900

Other identifiers 1

IdentifierTypeStateIssuer
01349251MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210000058 NY Order and Referring Only - DentistPractitioner - Dentist 9335443472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040075NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1003903337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WELLWOOD AVE STE D",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572000",
            "telephone_number": "631-225-1900",
            "fax_number": "631-225-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WELLWOOD AVE STE D",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572000",
            "telephone_number": "631-225-1900",
            "fax_number": "631-225-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNAGIAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01349251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.