Ancy Verdier, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

051891-1 Issued in NY

Practice address

384 Montauk Highway
Suite 4, Building B
Wainscott, NY 11975

Phone

(631) 537-1505

NPI assigned

Jan 30, 2009

Last updated

Jan 30, 2009By 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 MA

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1245478122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "WAINSCOTT",
            "state": "NY",
            "postal_code": "119750528",
            "telephone_number": "631-537-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 MONTAUK HIGHWAY",
            "address_2": "SUITE 4, BUILDING B",
            "city": "WAINSCOTT",
            "state": "NY",
            "postal_code": "11975",
            "telephone_number": "631-537-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIER",
        "first_name": "ANCY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051891-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Demetra Mirras, DMD
• Ronit Reguer, LCSW
• Jason Marc Rudolph, PSY.D.
• Jason Taylor Schwartz, D.O.
• Rebecca L Sieger, DMD
• Wainscott Common School District
• Wainscott Walk-in Medical Care PLLC
• Elizabeth Post White-Fricker, D.O.
• Merritt B White, DO

• Periodontics in Wainscott, NY
• Providers in Wainscott, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.