Individual provider Active NPI

Angelo Ralph Chiarenza, DDS

  • General Practice Dentistry
  • Massapequa Park, NY
National Provider Identifier
1306848452
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22717 Issued in NY
Practice address
1035 Park Blvd
Massapequa Park, NY 11762-2743
Phone
(516) 798-9184
NPI assigned
Jun 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 22717 NY Primary

Addresses

Primary practice location

1035 Park Blvd
Massapequa Park, NY 11762-2743

Mailing address

432 Wolf Hill Rd
Dix Hills, NY 11746-5743
Phone (631) 547-5030

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
22717NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306848452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 WOLF HILL RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465743",
            "telephone_number": "631-547-5030",
            "fax_number": "631-547-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-798-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARENZA",
        "first_name": "ANGELO",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "22717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.