Susan Sekreta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050369 Issued in NY

Practice address

103 Burrows Rd Ste 1
West Winfield, NY 13491-2830

Phone

(315) 822-4321

Fax

(315) 822-3284

NPI assigned

Oct 19, 2006

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1073695177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BURROWS RD STE 1",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912830",
            "telephone_number": "315-822-4321",
            "fax_number": "315-822-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BURROWS RD STE 1",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912830",
            "telephone_number": "315-822-4321",
            "fax_number": "315-822-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKRETA",
        "first_name": "SUSAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02444255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Johnston MD
• Sean J. Murphy, DPT
• Tina M Ondrako, COTA/L
• Deborah Ann Plungis, LPN
• Barbara Rodriguez, NP
• Sheryllynn J Shaw, LPN
• Kathryn Lucille Terns, REGISTERED NURSE
• Emily Vanderhoff, LMSW
• Village of West Winfield
• Village of West Winfield

• General Practice Dentistry in West Winfield, NY
• Providers in West Winfield, 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 Dec 22, 2015; 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.