Individual provider Active NPI

Judith Anne Okun, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rye Brook, NY
National Provider Identifier
1174726376
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
040546 Issued in NY
Practice address
14 Rye Ridge PLZ
Suite 243
Rye Brook, NY 10573-2826
Phone
(914) 253-0722
Fax
(914) 253-0723
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 040546 NY Primary

Addresses

Primary practice location

14 Rye Ridge PLZ
Suite 243
Rye Brook, NY 10573-2826

Mailing address

14 Rye Ridge PLZ
Suite 243
Rye Brook, NY 10573-2826
Phone (914) 523-0722

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
I20150625002137 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951612316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040546NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Okun Orthodontics P.C. Orthodontics and Dentofacial Orthopedics CurrentSince Oct 29, 2023 Accepting new patients

Locations

14 Rye Ridge Plz
Ste 243
Rye Brook, NY 10573
Phone (914) 253-0722

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1174726376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 243",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-523-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 243",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "914-253-0722",
            "fax_number": "914-253-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUN",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.