Rita Susan O'Dwyer, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

059772 Issued in NY

Practice address

2500 Nesconset Hwy BLDG 18a
Stony Brook, NY 11790-2563

Phone

(631) 751-1400

NPI assigned

Apr 5, 2017

Last updated

Jun 7, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southampton Endodontics, P.C.

  • Endodontics
  • Southampton, NY
  • NPI 1780366930
  NPD Authorized official
• Advanced Endodontics of Long Island, P.C.

  • Endodontics
  • Stony Brook, NY
  • NPI 1598029779
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1114450327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117800143",
            "telephone_number": "631-760-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 18A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902563",
            "telephone_number": "631-751-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_2": "New York Presbyterian Brooklyn Methodist Hospital",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Hawkins Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "11779",
            "country_code": "US",
            "telephone_number": "631-981-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2013 Wantagh Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117933920",
            "country_code": "US",
            "telephone_number": "516-826-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DWYER",
        "first_name": "RITA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "059772",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059772",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell I Nwaru Jr., M.D.
• Carol O'Brien
• Jillian Anne O'Brien, PA
• Susan O'Connell, RBT
• Krista M O'Donnell, FNP-C
• Alison Ashley O'Keefe, MD
• Allyson Nicole O'Kula
• Keith Daniel O'Leary, PH.D.
• Mary Kerin O'Neill, L.C.S.W.
• Meghan O'Neill, PA-C

• Endodontics in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.