Active NPI
Konstantina K Sarandeva Giesberg, DDS
- Dental Anesthesiology
- New Milford, NJ
National Provider Identifier
1386123172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 001269
- Practice address
- 371 Graphic Blvd
New Milford, NJ 07646-2128 - Phone
- (646) 647-9090
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 001269 | NY | Primary |
Addresses
Primary practice location
371 Graphic Blvd
New Milford, NJ 07646-2128
Mailing address
245 N Main St Unit 453
New City, NY 10956-7541
Phone (646) 647-9090
Other practice location 1
30 North Main Street
AuSable Forks, NY 12912
Phone (646) 647-9090
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 |
|---|---|---|---|
| 001269 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Primary Office Nyc PLLC | Dental Anesthesiology | Current | 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.
-
- Dental Anesthesiology
- New York, NY
- NPI 1730985813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1386123172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N MAIN ST UNIT 453",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109567541",
"telephone_number": "646-647-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 GRAPHIC BLVD",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076462128",
"telephone_number": "646-647-9090"
}
],
"practiceLocations": [
{
"address_1": "30 North Main Street",
"address_purpose": "LOCATION",
"city": "AuSable Forks",
"state": "NY",
"postal_code": "12912",
"country_code": "US",
"telephone_number": "646-647-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARANDEVA GIESBERG",
"first_name": "KONSTANTINA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "NY",
"license": "001269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.