Stephen Pommiss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

026056 Issued in NY

Practice address

18Miller Rd .
Mahopac, NY 10541

Phone

(845) 628-7755

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023107901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 DOUGLAS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713519",
            "telephone_number": "718-548-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18MILLER RD .",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "10541",
            "telephone_number": "845-628-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMMISS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "026056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Perrone, D.C.
• Peter G. Gorman DCPC
• Mychal S Petti
• Christopher Michael Pikoulas
• Gabrielle Pikoulas, MA PSYCHOLOGY
• Marisa Portanova
• Christa L Porter, COTA
• Christina Powers
• Susan Powers, LPN
• Chandra Prasad

• General Practice Dentistry in Mahopac, NY
• Providers in Mahopac, 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 Jul 8, 2007; 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.