Active NPI
Alan S. Ingber, DDS
- General Practice Dentistry
- Si, NY
National Provider Identifier
1134426505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 034653
- Practice address
- 780 Forest Ave
Si, NY 10310 - Phone
- (718) 442-3482
- Fax
- (718) 442-3485
- NPI assigned
- Feb 22, 2011
- Last updated
- Feb 22, 2011
- Sex
- Male
- 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 | 034653 | NY | Primary |
Addresses
Primary practice location
780 Forest Ave
Si, NY 10310
Mailing address
780 Forest Ave
Si, NY 10310
Phone (718) 442-3482
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 |
|---|---|---|---|
| 034653 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1134426505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 FOREST AVE",
"city": "SI",
"state": "NY",
"postal_code": "10310",
"telephone_number": "718-442-3482",
"fax_number": "718-442-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 FOREST AVE",
"city": "SI",
"state": "NY",
"postal_code": "10310",
"telephone_number": "718-442-3482",
"fax_number": "718-442-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGBER",
"first_name": "ALAN",
"middle_name": "S.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "034653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Si, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.