Individual provider Active NPI

Neal F Vallins, D.D.S.

  • Periodontics
  • New York, NY
National Provider Identifier
1346397759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
033241 Issued in NY
Practice address
800A 5TH Ave Ste 305
New York, NY 10021-7215
Phone
(212) 371-6887
Fax
(212) 980-3388
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X 033241 NY Primary

Addresses

Primary practice location

800A 5TH Ave Ste 305
New York, NY 10021-7215

Mailing address

800A 5TH Ave Ste 305
New York, NY 10021-7215
Phone (212) 371-6887

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
I20150323001204 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4385961820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033241NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles for All Dental Studio PastSince Jul 28, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346397759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217215",
            "telephone_number": "212-371-6887",
            "fax_number": "212-980-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217215",
            "telephone_number": "212-371-6887",
            "fax_number": "212-980-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLINS",
        "first_name": "NEAL",
        "middle_name": "F",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "033241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.