Individual provider Active NPI

Michele Kaplan, DDS, MS

  • Dentist
  • New York, NY
National Provider Identifier
1114562881
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061716 Issued in NY
Practice address
200 Central Park S Apt 209
New York, NY 10019-1450
Phone
(212) 489-4867
Fax
(212) 582-7445
NPI assigned
Nov 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI2742500 NJ
Dentist 122300000X 061716 NY Primary

Addresses

Primary practice location

200 Central Park S Apt 209
New York, NY 10019-1450

Mailing address

5242 Blackstone Ave
Bronx, NY 10471-2834
Phone (917) 843-2044

Other practice location 1

135 Chestnut Ridge Rd
Montvale, NJ 07645-1152
Phone (201) 391-5537

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22DI2742500NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Dentistry for Children Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1114562881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 BLACKSTONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712834",
            "telephone_number": "917-843-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTRAL PARK S APT 209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191450",
            "telephone_number": "212-489-4867",
            "fax_number": "212-582-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451152",
            "country_code": "US",
            "telephone_number": "201-391-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "MICHELE",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI2742500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.