David Kaplan Minoli, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS043507 Issued in PA

Practice address

876 Dutchess Tpke
Poughkeepsie, NY 12603-1540

Phone

(845) 209-2180

NPI assigned

Mar 12, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 30, 2022 through Jun 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1356099030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PHIPPS LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 DUTCHESS TPKE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031540",
            "telephone_number": "845-209-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 N Chatsworth Ave Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Larchmont",
            "state": "NY",
            "postal_code": "105382135",
            "country_code": "US",
            "telephone_number": "913-834-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOLI",
        "first_name": "DAVID",
        "middle_name": "KAPLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Mills, MSPT
• Tiara Arlie Stephanie Mills
• Michael Minarich, MD
• Denise Sue Mincarelli, PTA
• Jadia Mincey, LPN
• Sean Miranda
• Michelle Miscedra, RPH
• Yashodhara Misra, MD
• Cameron Ritchie Mitchell, MBBCH
• Dana L. Mitchell, CPNP

• Dentist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.