Active NPI
Danny Joseph, DDS
- Periodontics
- Bay Shore, NY
National Provider Identifier
1326228248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 04204
- Practice address
- 375 East Main St
Suite 18 Medical Arts BLDG
Bay Shore, NY 11706 - Phone
- (631) 968-0302
- Fax
- (631) 968-0302
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 04204 | NY | Primary |
Addresses
Primary practice location
375 East Main St
Suite 18 Medical Arts BLDG
Bay Shore, NY 11706
Mailing address
375 East Main St
Suite 18 Medical Arts BLDG
Bay Shore, NY 11706
Phone (631) 968-0302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04204 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1326228248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 EAST MAIN ST",
"address_2": "SUITE 18 MEDICAL ARTS BLDG",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-968-0302",
"fax_number": "631-968-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 EAST MAIN ST",
"address_2": "SUITE 18 MEDICAL ARTS BLDG",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-968-0302",
"fax_number": "631-968-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "DANNY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "04204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.