Individual provider Active NPI

Don A Pantino, DDSPC

  • General Practice Dentistry
  • Islip, NY
National Provider Identifier
1154339190
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0339521 Issued in NY
Practice address
309 Main Street
Islip, NY 11751-0435
Phone
(631) 581-7777
Fax
(631) 581-2777
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 0339521 NY Primary

Addresses

Primary practice location

309 Main Street
Islip, NY 11751-0435

Mailing address

309 Main Street
Islip, NY 11751-0435
Phone (631) 581-7777

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

LicenseStateTypeSpecialty
0339521NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adriane Collins DO PC PastSince Mar 31, 2024 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1154339190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAIN STREET",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510435",
            "telephone_number": "631-581-7777",
            "fax_number": "631-581-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAIN STREET",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510435",
            "telephone_number": "631-581-7777",
            "fax_number": "631-581-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTINO",
        "first_name": "DON",
        "middle_name": "A",
        "credential": "DDSPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0339521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.