Individual provider Active NPI

David T Starkman, D.D.S.

  • General Practice Dentistry
  • Valatie, NY
National Provider Identifier
1295862258
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037142 Issued in NY
Practice address
2870 Route 9
Valatie, NY 12184
Phone
(518) 758-7179
Fax
(518) 758-1579
NPI assigned
Feb 27, 2007
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 037142 NY Primary

Addresses

Primary practice location

2870 Route 9
Valatie, NY 12184

Mailing address

PO Box 788
Valatie, NY 12184-0788
Phone (518) 758-7179

Other identifiers 1

IdentifierTypeStateIssuer
141657880OtherNYTAX ID

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
I20150603000474 NY Order and Referring Only - DentistPractitioner - Dentist 6800065095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037142NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kinderhook Dental Arts PC CurrentSince Jan 1, 2014 Accepting new patients

Locations

2870 US Highway 9
Valatie, NY 12184
Phone (518) 758-7179

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1295862258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121840788",
            "telephone_number": "518-758-7179",
            "fax_number": "518-758-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 ROUTE 9",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-7179",
            "fax_number": "518-758-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKMAN",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "141657880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valatie, NY

Sources for this page

Verify at the official NPI Registry.