Active NPI
Martin R Boorin, DMD PC
Doing business as Dental Anesthesia Services, PC
- Dental Anesthesiology
- Dix Hills, NY
National Provider Identifier
1013359777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 039997
- Legal business name
- MARTIN R BOORIN, DMD PC
- Doing business as
- Dental Anesthesia Services, PC
- Practice address
- 1087 Westminster Ave
Dix Hills, NY 11746-6340 - Phone
- (516) 776-0716
- Fax
- (631) 940-7227
- NPI assigned
- Jul 23, 2013
- Last updated
- Jul 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin R Boorin, DMD
- Title
- President
- Phone
- (631) 940-3690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 039997 | NY | Primary |
Addresses
Primary practice location
1087 Westminster Ave
Dix Hills, NY 11746-6340
Mailing address
PO Box 107
Huntington Station, NY 11746-0089
Phone (631) 940-3690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00023886 | Other | NY | RAILROAD |
Other names 1
- Dental Anesthesia Services, PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dental Anesthesiology
- Dix Hills, NY
- NPI 1043216435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374537600000",
"number": "1013359777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 107",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117460089",
"telephone_number": "631-940-3690",
"fax_number": "631-940-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1087 WESTMINSTER AVE",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466340",
"telephone_number": "516-776-0716",
"fax_number": "631-940-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN R BOORIN, DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A",
"authorized_official_last_name": "BOORIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-940-3690",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "NY",
"license": "039997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00023886",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Anesthesia Services, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.