Ty Dodson Osborne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055622 Issued in NY

Practice address

90 Main St
Kings Park, NY 11754-2719

Phone

(631) 269-6812

NPI assigned

Jun 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1386964583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHELDON PL",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253238",
            "telephone_number": "631-896-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542719",
            "telephone_number": "631-269-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TY",
        "middle_name": "DODSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Danielle O'Shea, RD
• Barbara Ann Ogrady, RN
• Melissa Robin Ommundsen, PHYSICAL THERAPIST
• Salvatore Oreste, RPH
• Maureen M. Orsen, MD
• Monica Oswald, PH.D.
• Michael Palazzo
• Bethzaida Crisanto Palma-Aquino, MD
• Chris Pandolfi, P.T.
• Rachel Beth Parrotta, DPT

• General Practice Dentistry in Kings Park, NY
• Providers in Kings Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.