Active NPI
Michele Ann Rennard-Scarantino, D.D.S.
- General Practice Dentistry
- Franklin Square, NY
National Provider Identifier
1124374848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048626
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112002612 | NY | Order and Referring Only - Dentist | 3678883154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048626 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Franklin Square, NY
- NPI 1114334554
-
- Dentist
- Franklin Square, NY
- NPI 1740697184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.