Individual provider Active NPI

Michele Ann Rennard-Scarantino, D.D.S.

  • General Practice Dentistry
  • Franklin Square, NY
National Provider Identifier
1124374848
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048626 Issued in NY
Practice address
157 New Hyde Park Rd
Franklin Square, NY 11010-3045
Phone
(516) 282-9988
Fax
(516) 358-4394
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048626 NY Primary

Addresses

Primary practice location

157 New Hyde Park Rd
Franklin Square, NY 11010-3045

Mailing address

157 New Hyde Park Rd
Franklin Square, NY 11010-3045
Phone (516) 282-9988

Other names 1

  • Dr. Michele Rennard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002612 NY Order and Referring Only - DentistPractitioner - Dentist 3678883154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048626NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Rennard DDS, PLLC Past Accepting new patients
Foxx Dental of Franklin Square, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1124374848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103045",
            "telephone_number": "516-282-9988",
            "fax_number": "516-358-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103045",
            "telephone_number": "516-282-9988",
            "fax_number": "516-358-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNARD-SCARANTINO",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RENNARD",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.