Active NPI
William Brinkerhoff, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Monticello, NY
National Provider Identifier
1174641674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 035043
- Practice address
- 444 Broadway
Suite 6
Monticello, NY 12701 - Phone
- (845) 794-7180
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 035043 | NY | Primary |
Addresses
Primary practice location
444 Broadway
Suite 6
Monticello, NY 12701
Mailing address
444 Broadway
Suite 6
Monticello, NY 12701
Phone (845) 794-7180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00813474 | Medicaid | NY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035043 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174641674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 BROADWAY",
"address_2": "SUITE 6",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-794-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 BROADWAY",
"address_2": "SUITE 6",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-794-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKERHOFF",
"first_name": "WILLIAM",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "035043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00813474",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- 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.