Active NPI
Britta Viereckl-Prast, DMD
- General Practice Dentistry
- Newburgh, NY
National Provider Identifier
1386760304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054306
- Practice address
- 147 Lake St
Newburgh, NY 12550 - Phone
- (845) 563-8000
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001171 | DE | |
| General Practice Dentistry | 1223G0001X | 054306 | NY | Primary |
Addresses
Primary practice location
147 Lake St
Newburgh, NY 12550
Mailing address
1601 Milltown Rd
Suite 19
Wilmington, DE 19808-4027
Phone (302) 999-7600
Other practice location 1
32895 S. Coastal Highway
Bethany Beach, DE 19930-4027
Phone (302) 537-1200
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114002841 | NY | Order and Referring Only - Other (Non-Physician) | 6305190133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001171 | DE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfred B. Brown DDS, PA | Dentist | Past | Accepting new patients |
| Cornerstone Family Healthcare | Past | Accepting new patients | |
| Cornerstone Family Healthcare | Past | Accepting new patients |
Interoperability endpoints
- britta.vierecklprast@csfh.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DGCECD
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1114757515
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1689669079
-
- Dentist
- Wilmington, DE
- NPI 1821133349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1386760304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MILLTOWN RD",
"address_2": "SUITE 19",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084027",
"telephone_number": "302-999-7600",
"fax_number": "302-998-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LAKE ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-563-8000"
}
],
"practiceLocations": [
{
"address_1": "32895 S. Coastal Highway",
"address_purpose": "LOCATION",
"city": "Bethany Beach",
"state": "DE",
"postal_code": "199304027",
"country_code": "US",
"telephone_number": "302-537-1200",
"fax_number": "302-998-6704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIERECKL-PRAST",
"first_name": "BRITTA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001171",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.