David K Hom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047316 Issued in NY

Practice address

240 Glen Head Rd
Glen Head, NY 11545-1954

Phone

(516) 356-3562

NPI assigned

Jul 20, 2005

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1396744363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115450304",
            "telephone_number": "516-874-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GLEN HEAD RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451954",
            "telephone_number": "516-356-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noor Ul Ain Hashmi, D.O
• Dayanand Belinje Hegde, M.D
• Sylvia Grey Heyman, D.C., L.AC
• Kristen Mary Hill, M.A., CCC-SLP, TSSLD
• Laurie Donna Hirsch, SLP
• Hamed Hossainian
• Elizabeth Ann Hux, OTR/L
• Lori Suzanne Ikawa
• Monica Marie Impastato, M.S., CCC-SLP, TSSLD
• Rachael Priya Itwaru

• General Practice Dentistry in Glen Head, NY
• Providers in Glen Head, 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 Mar 24, 2020; 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.

Verify at the official NPI Registry.