Individual provider Active NPI

Ryan T. Comfort

  • General Practice Dentistry
  • Vestal, NY
National Provider Identifier
1366756348
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055046 Issued in NY
Practice address
501 Plaza Dr
Vestal, NY 13850-3670
Phone
(607) 797-5932
Fax
(607) 797-4150
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055046 NY Primary

Addresses

Primary practice location

501 Plaza Dr
Vestal, NY 13850-3670

Mailing address

501 Plaza Dr
Vestal, NY 13850-3670
Phone (607) 797-5932

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
I20150320001170 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648597112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silvestri & Comfort Dental Practice, PLLC General Practice Past Accepting new patients
Silvestri Dental & Assoc General Practice Past Accepting new patients

Organizations & group practices 2

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1366756348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PLAZA DR",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503670",
            "telephone_number": "607-797-5932",
            "fax_number": "607-797-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PLAZA DR",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503670",
            "telephone_number": "607-797-5932",
            "fax_number": "607-797-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMFORT",
        "first_name": "RYAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.