Active NPI
Christopher Paladino, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Massapequa, NY
National Provider Identifier
1043640709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 046984
- Practice address
- 535 Broadway
Massapequa, NY 11758-5006 - Phone
- (516) 308-3668
- NPI assigned
- Nov 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 046984 | NY | Primary |
Addresses
Primary practice location
535 Broadway
Massapequa, NY 11758-5006
Mailing address
535 Broadway
Massapequa, NY 11758-5006
Phone (516) 308-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046984 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384646400000",
"number": "1043640709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585006",
"telephone_number": "516-308-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585006",
"telephone_number": "516-308-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALADINO",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-17",
"last_updated": "2013-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "046984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.