Active NPI
David Melvin Bornstein, DDS
- Dentist
- Sidney, NY
National Provider Identifier
1063626752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NY021793
- Practice address
- 39 Delaware Avenue
Sidney, NY 13838 - Phone
- (607) 563-1316
- NPI assigned
- May 10, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | NY021793 | NY | Primary |
Addresses
Primary practice location
39 Delaware Avenue
Sidney, NY 13838
Mailing address
P.O. Box 357
39 Delaware Avenue
Sidney, NY 13838
Phone (607) 563-1316
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 |
|---|---|---|---|
| NY021793 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1063626752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 357",
"address_2": "39 DELAWARE AVENUE",
"city": "SIDNEY",
"state": "NY",
"postal_code": "13838",
"telephone_number": "607-563-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 DELAWARE AVENUE",
"city": "SIDNEY",
"state": "NY",
"postal_code": "13838",
"telephone_number": "607-563-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNSTEIN",
"first_name": "DAVID",
"middle_name": "MELVIN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "NY021793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.