Active NPI
Adam Bear
- Periodontics
- Mamaroneck, NY
National Provider Identifier
1215344973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 057299
- Practice address
- 515 Halstead Ave
Mamaroneck, NY 10543-2715 - Phone
- (914) 777-9465
- NPI assigned
- Jul 15, 2014
- Last updated
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 057299 | NY | Primary |
Addresses
Primary practice location
515 Halstead Ave
Mamaroneck, NY 10543-2715
Mailing address
9801 67TH Ave Apt 11X
Rego Park, NY 11374-4911
Phone (631) 942-9232
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191010002182 | NY | Order and Referring Only - Dentist | 4880925585 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Endo Support Services | Past | Accepting new patients | |
| Singular Anesthesia Services, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1215344973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 67TH AVE APT 11X",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744911",
"telephone_number": "631-942-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HALSTEAD AVE",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432715",
"telephone_number": "914-777-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAR",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "057299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.