Anselum Louis Pominville, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041391 Issued in NY

Practice address

7626 N State St
Lowville, NY 13367-1318

Phone

(315) 376-3121

Fax

(315) 376-8635

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225059892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671318",
            "telephone_number": "315-376-3121",
            "fax_number": "315-376-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671318",
            "telephone_number": "315-376-3121",
            "fax_number": "315-376-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMINVILLE",
        "first_name": "ANSELUM",
        "middle_name": "LOUIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Phair, FNP
• Martha Lynn Pisaniello, M.D.
• Marilyn A Planck Yancey
• Anna Platz
• Molly Pleskach, FNP
• Lynne Pominville, PT
• Cheryl Poppleton
• Joshua Harold Purcell, FNP-C
• Shannon Marie Reuter, LMT
• Jennifer Lee Rich, LCSW

• General Practice Dentistry in Lowville, NY
• Providers in Lowville, NY by specialty
• General Practice Dentistry in New York

• 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.

Verify at the official NPI Registry.