Juan Bautista Espaillat, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050768 Issued in NY

Practice address

286 N Main St Ste 101
Spring Valley, NY 10977-3749

Phone

(845) 426-1619

Fax

(845) 371-2694

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• F H L Dental Care P C

  • General Practice Dentistry
  • Spring Valley, NY
  • NPI 1992978407

  General Practice, NY

  Medicare reassignment NPD Authorized official
• 3545 Johnson Blvd Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1124759527

  NY

  Medicare reassignment NPD
• 43 Chruch Street Dental PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1356097869

  NY

  Medicare reassignment NPD
• Alejandro Williams Dental Office PC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1508037466

  NY

  Medicare reassignment NPD
• Bonita Sonrisa Dental Mso

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1790325884

  NY

  Medicare reassignment NPD
• Spore Test Inc

  • Dentist
  • Bronx, NY
  • NPI 1902533342

  NY

  Medicare reassignment
• Bonita Sonrisa Dental Ipa

  • Public Health Dentistry
  • Bronx, NY
  • NPI 1700343233
  NPD

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1194715425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N MAIN ST STE 101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773749",
            "telephone_number": "845-426-1619",
            "fax_number": "845-371-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N MAIN ST STE 101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773749",
            "telephone_number": "845-426-1619",
            "fax_number": "845-371-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPAILLAT",
        "first_name": "JUAN",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chava P Epstein, MACCC/SLP
• George Epstein
• Nirmala Eriyamulla
• Marlyn Tablo Escalona
• Isela Maria Escobar, FNP
• Brianne Esteves
• Vanessa Etienne, LPN
• Wideline Etienne
• Evergreen Court Home for Adults SP LLC
• Nelie Exalus

• All providers in Spring Valley, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.