Bohan B. Soifer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029968 Issued in NY

Practice address

402 Main St
Corinth, NY 12822-1408

Phone

(518) 654-6640

Fax

(518) 654-2155

NPI assigned

Jul 9, 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

Enrolled in FL

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

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235162603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221408",
            "telephone_number": "518-654-6640",
            "fax_number": "518-654-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221408",
            "telephone_number": "518-654-6640",
            "fax_number": "518-654-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOIFER",
        "first_name": "BOHAN",
        "middle_name": "B.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole O'Brien
• Rite Aid of New York Inc (Rite Aid Pharmacy 02796)
• Russells Pharmacy Upstate Home Respiratory Equipment Inc
• Perumunda Krishna Sharma, MD
• George C Siniapkin, MD
• State of New York Comptrollers Office
• Amanda A Steen
• Terrence Thomas Towers, BS PHARMACY
• Town of Corinth
• Village of Corinth

• General Practice Dentistry in Corinth, NY
• Providers in Corinth, 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.
• 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.