Individual provider Active NPI

Irwin Silversmith, DMD

  • Dentist
  • Wantagh, NY
National Provider Identifier
1306917620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0299591 Issued in NY
Practice address
3366 Park Ave
Suite 201
Wantagh, NY 11793-3773
Phone
(516) 785-2255
Fax
(516) 785-2670
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 0299591 NY Primary

Addresses

Primary practice location

3366 Park Ave
Suite 201
Wantagh, NY 11793-3773

Mailing address

3366 Park Ave
Suite 201
Wantagh, NY 11793-3773
Phone (516) 785-2255

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0299591NYMDDentist
029959NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306917620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933773",
            "telephone_number": "516-785-2255",
            "fax_number": "516-785-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933773",
            "telephone_number": "516-785-2255",
            "fax_number": "516-785-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSMITH",
        "first_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0299591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.