Individual provider Active NPI

Mariana Sapir, D.D.S.

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1033198197
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041797 Issued in NY
Practice address
21333 39TH Ave
Suite 302
Bayside, NY 11361-2071
Phone
(718) 423-2626
NPI assigned
Jan 16, 2006
Last updated
Feb 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041797 NY Primary

Addresses

Primary practice location

21333 39TH Ave
Suite 302
Bayside, NY 11361-2071

Mailing address

21333 39TH Ave
Suite 302
Bayside, NY 11361-2071
Phone (718) 423-2626

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
I20150910001338 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911214895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041797NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Family Dental, P.C. General Practice Past Accepting new patients
Bayside Family Dental Practice PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1033198197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE",
            "address_2": "SUITE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612071",
            "telephone_number": "718-423-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21333 39TH AVE",
            "address_2": "SUITE 302",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612071",
            "telephone_number": "718-423-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPIR",
        "first_name": "MARIANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.