Active NPI
Norman Edward Rich, D.D.S.
- General Practice Dentistry
- Wantagh, NY
National Provider Identifier
1285666586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31349-1
- Practice address
- 3366 Park Ave
Ste 112
Wantagh, NY 11793-3718 - Phone
- (516) 785-1188
- Fax
- (516) 785-1578
- NPI assigned
- Jul 7, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31349-1 | NY | Primary |
Addresses
Primary practice location
3366 Park Ave
Ste 112
Wantagh, NY 11793-3718
Mailing address
3366 Park Ave
Ste 112
Wantagh, NY 11793-3718
Phone (516) 785-1188
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 |
|---|---|---|---|---|
| I20151230000371 | NY | Order and Referring Only - Dentist | 2961704473 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31349-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285666586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 PARK AVE",
"address_2": "STE 112",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933718",
"telephone_number": "516-785-1188",
"fax_number": "516-785-1578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 PARK AVE",
"address_2": "STE 112",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933718",
"telephone_number": "516-785-1188",
"fax_number": "516-785-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "NORMAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "31349-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
- Resilient Roots-Licensed Clinical Social Work Services, PLLC
- Restorative Physical Therapy
- Mary Elizabeth Reynolds, M.S. CCC-SLP
- Gabriella-Marie Pat Ribaudo, LMHC
- Denise Rice
- John Paul Rincon, MS PT
- Lisa Marie Ripi-Hanemann, DIPL.AC, LAC, LMT
- Alyssa Risdon, MHC-LP
- Richard T Risko, DO
- Carmen Ivette Rivera, LCSW
Sources for this page
- 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.