Active NPI
Sunny John Cosmo Spinosa, DDS
- Dentist
- Cooperstown, NY
National Provider Identifier
1205027067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054159-1
- Practice address
- 6 Doubleday CT
Cooperstown, NY 13326-1223 - Phone
- (607) 547-2313
- NPI assigned
- Aug 7, 2007
- Last updated
- May 3, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 054159-1 | NY | Primary |
Addresses
Primary practice location
6 Doubleday CT
Cooperstown, NY 13326-1223
Mailing address
6 Doubleday CT
Cooperstown, NY 13326-1223
Phone (607) 547-2313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054159-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1205027067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DOUBLEDAY CT",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261223",
"telephone_number": "607-547-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DOUBLEDAY CT",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261223",
"telephone_number": "607-547-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINOSA",
"first_name": "SUNNY",
"middle_name": "JOHN COSMO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054159-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.