Individual provider Active NPI

Steven Perkel, D.D.S

  • Dentist
  • Red Hook, NY
National Provider Identifier
1295738946
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36175 Issued in NY
Practice address
44 W Market St
Red Hook, NY 12571-1511
Phone
(845) 758-6677
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36175 NY Primary

Addresses

Primary practice location

44 W Market St
Red Hook, NY 12571-1511

Mailing address

44 W Market St
PO Box 50
Red Hook, NY 12571-1511
Phone (845) 758-6677

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
I20151124000744 NY Order and Referring Only - DentistPractitioner - Dentist 8325348337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36175NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1295738946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W MARKET ST",
            "address_2": "PO BOX 50",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711511",
            "telephone_number": "845-758-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W MARKET ST",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711511",
            "telephone_number": "845-758-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKEL",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "36175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hook, NY

Sources for this page

Verify at the official NPI Registry.