Individual provider Active NPI

Sandra Molinas, D.D.S

  • Periodontics
  • Bronx, NY
National Provider Identifier
1285776021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0440791 Issued in NY
Practice address
2734 Arlington Ave
Bronx, NY 10463-4807
Phone
(917) 885-4714
Fax
(718) 597-8869
NPI assigned
Feb 12, 2007
Sex
Female
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
Periodontics 1223P0300X 0440791 NY Primary

Addresses

Primary practice location

2734 Arlington Ave
Bronx, NY 10463-4807

Mailing address

2734 Arlington Ave
Bronx, NY 10463-4807
Phone (917) 885-4714

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
I20160531001840 NY Order and Referring Only - DentistPractitioner - Dentist 6204126410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0440791NYMDPeriodontist

Interoperability endpoints

  • Direct secure messaging: smolinas20905@sbhny.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285776021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 ARLINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634807",
            "telephone_number": "917-885-4714",
            "fax_number": "718-597-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 ARLINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634807",
            "telephone_number": "917-885-4714",
            "fax_number": "718-597-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINAS",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "0440791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.