Active NPI
Amy L Guccione, DDS
- Dentist
- Scarsdale, NY
National Provider Identifier
1114155637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051031-1
- Practice address
- 30 Popham Rd
Scarsdale, NY 10583-4134 - Phone
- (914) 725-7100
- NPI assigned
- Jun 23, 2009
- Last updated
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 051031-1 | NY | |
| Prosthodontics | 1223P0700X | 051031 | NY | |
| Dentist | 122300000X | 051031-1 | NY | Primary |
Addresses
Primary practice location
30 Popham Rd
Scarsdale, NY 10583-4134
Mailing address
88 Lake Ave Apt 3D
Tuckahoe, NY 10707-3940
Phone (347) 724-4422
Other names 1
- Ms. Amy L Shih
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 |
|---|---|---|---|
| 051031-1 | NY | MD | Dentist |
| 051031 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Care of Scarsdale, PLLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthodontics
- Scarsdale, NY
- NPI 1447484068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1114155637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LAKE AVE APT 3D",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107073940",
"telephone_number": "347-724-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 POPHAM RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834134",
"telephone_number": "914-725-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUCCIONE",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "051031-1",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "051031",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051031-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SHIH",
"middle_name": "L",
"prefix": "MS.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.