Active NPI
Gregory Garrett Serrano, DDS
- Dentist
- West Point, NY
National Provider Identifier
1336590785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857303
- Practice address
- 646 Swift Rd
West Point, NY 10996-1942 - Phone
- (845) 938-4611
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857303 | MA | Primary |
Addresses
Primary practice location
646 Swift Rd
West Point, NY 10996-1942
Mailing address
646 Swift Rd
West Point, NY 10996-1942
Phone (845) 938-4611
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 |
|---|---|---|---|
| DN1857303 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336590785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 SWIFT RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961942",
"telephone_number": "845-938-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 SWIFT RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961942",
"telephone_number": "845-938-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "GREGORY",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.