Individual provider Active NPI

Patrick A Nett, DDS

  • Dentist
  • Sayville, NY
National Provider Identifier
1255347100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30207 Issued in NY
Practice address
229 Railroad Ave
Sayville, NY 11782-2719
Phone
(631) 563-1050
Fax
(631) 563-1052
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30207 NY Primary

Addresses

Primary practice location

229 Railroad Ave
Sayville, NY 11782-2719

Mailing address

229 Railroad Ave
Sayville, NY 11782-2719
Phone (631) 563-1050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001480 NY Order and Referring Only - DentistPractitioner - Dentist 9436457330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30207NYMDDentist
030207NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Babylon Physical Therapy PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255347100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822719",
            "telephone_number": "631-563-1050",
            "fax_number": "631-563-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RAILROAD AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822719",
            "telephone_number": "631-563-1050",
            "fax_number": "631-563-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETT",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "30207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.