NPIMap

Organization Active NPI

Louis S Profera DDS PLLC

  • Dentist
  • East Hampton, NY
National Provider Identifier
1366988735
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOUIS S PROFERA DDS PLLC
Practice address
65 Montauk Hwy
Suite E
East Hampton, NY 11937-3285
Phone
(631) 324-5662
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Louis S ProferaNPI 1912013962
Title
Owner
Phone
(631) 324-5662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

65 Montauk Hwy
Suite E
East Hampton, NY 11937-3285

Mailing address

65 Montauk Hwy
Suite E
East Hampton, NY 11937-3285
Phone (631) 324-5662

National Provider Directory

National Provider Directory

Locations

65 Montauk Hwy
Ste E
East Hampton, NY 11937
Phone (631) 324-5662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1366988735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MONTAUK HWY",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119373285",
            "telephone_number": "631-324-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MONTAUK HWY",
            "address_2": "SUITE E",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119373285",
            "telephone_number": "631-324-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS S PROFERA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "PROFERA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-324-5662"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.