Individual provider Active NPI

Richard Michael Sigismondi, D.M.D.

  • Dentist
  • West Sayville, NY
National Provider Identifier
1164697249
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
036685 Issued in NY
Practice address
8 Munson LN
West Sayville, NY 11796-1512
Phone
(631) 563-1583
Fax
(631) 244-7543
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 036685 NY Primary

Addresses

Primary practice location

8 Munson LN
West Sayville, NY 11796-1512

Mailing address

8 Munson LN
West Sayville, NY 11796-1512
Phone (631) 563-1583

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
I20160601000808 NY Order and Referring Only - DentistPractitioner - Dentist 5991095143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036685NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M. Sigismondi DMD PC PastSince Oct 1, 1992 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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1164697249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MUNSON LN",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961512",
            "telephone_number": "631-563-1583",
            "fax_number": "631-244-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MUNSON LN",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961512",
            "telephone_number": "631-563-1583",
            "fax_number": "631-244-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGISMONDI",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sayville, NY

Sources for this page

Verify at the official NPI Registry.