Organization Active NPI

Martin R Boorin, DMD PC

Doing business as Dental Anesthesia Services, PC

  • Dental Anesthesiology
  • Dix Hills, NY
National Provider Identifier
1013359777
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
039997 Issued in NY
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Martin R Boorin, DMDNPI 1043216435
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00023886OtherNYRAILROAD

Other names 1

  • Dental Anesthesia Services, PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.