Jerome Julius Desnyder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

029277 Issued in NY

Practice address

8 Healey Ave
Plattsburgh, NY 12901

Phone

(518) 561-1170

Fax

(518) 324-1170

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael T. Davey, DMD, P.C.

  • General Practice Dentistry
  • Plattsburgh, NY
  • NPI 1215257662
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164557294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HEALEY AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-561-1170",
            "fax_number": "518-324-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEALEY AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-561-1170",
            "fax_number": "518-324-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESNYDER",
        "first_name": "JEROME",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "029277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00626513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Denenberg, CNP
• Dennis B O'Hara DMD PC
• Bianca Elizabeth Deno
• Emma Deshaies, OTR/L
• Gilbert Desmangles, MD
• Steven Deso, MD
• Jacilyn Christina Devine, PNP
• Miriam Dick-Cohen, DDS
• George A Disney, M.D.
• Dana Dixon, RN

• Dentist in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.