Individual provider Active NPI

Adriel Sayag, DMD

  • General Practice Dentistry
  • Plattsburgh, NY
National Provider Identifier
1295604577
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065096 Issued in NY
Practice address
37 Boynton Ave Ste 2
Plattsburgh, NY 12901-1268
Phone
(518) 563-5002
Fax
(518) 205-7795
NPI assigned
Nov 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065096 NY Primary

Addresses

Primary practice location

37 Boynton Ave Ste 2
Plattsburgh, NY 12901-1268

Mailing address

37 Boynton Ave Ste 2
Plattsburgh, NY 12901-1268
Phone (518) 563-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
065096NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Champlain Dentistry PC General Practice CurrentSince Nov 9, 2025 Accepting new patients

Locations

37 Boynton Ave
Ste 2
Plattsburgh, NY 12901
Phone (518) 563-5002

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": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1295604577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BOYNTON AVE STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011268",
            "telephone_number": "518-563-5002",
            "fax_number": "518-205-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOYNTON AVE STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011268",
            "telephone_number": "518-563-5002",
            "fax_number": "518-205-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYAG",
        "first_name": "ADRIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.