Individual provider Active NPI

Britta Viereckl-Prast, DMD

  • General Practice Dentistry
  • Newburgh, NY
National Provider Identifier
1386760304
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054306 Issued in NY
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

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181114002841 NY Order and Referring Only - Other (Non-Physician) 6305190133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001171DEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred B. Brown DDS, PA Dentist Past Accepting new patients
Cornerstone Family Healthcare PastSince Aug 4, 2024 Accepting new patients
Cornerstone Family Healthcare PastSince Jun 1, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: britta.vierecklprast@csfh.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.