Active NPI
Michele Kaider-Alstodt
- Pediatric Dentistry
- North Babylon, NY
National Provider Identifier
1396946026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 051462-1
- Practice address
- 1476 Deer Park Ave
Suite 2
North Babylon, NY 11703-1200 - Phone
- (631) 254-5437
- NPI assigned
- May 30, 2007
- Last updated
- Oct 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 051462 | NY | |
| Pediatric Dentistry | 1223P0221X | 051462-1 | NY | Primary |
Addresses
Primary practice location
1476 Deer Park Ave
Suite 2
North Babylon, NY 11703-1200
Mailing address
1476 Deer Park Ave
Suite 2
North Babylon, NY 11703-1200
Phone (631) 254-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204062910 | Other | NY | TAX ID |
Other names 1
- Michele Savel
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 |
|---|---|---|---|
| 051462 | NY | MD | Pediatric Dentist |
| 051462-1 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Kiddsmiles Pediatric Dentistry 7 PLLC | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Port Jefferson Station, NY
- NPI 1144921602
-
- Pediatric Dentistry
- Floral Park, NY
- NPI 1952929911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1396946026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1476 DEER PARK AVE",
"address_2": "SUITE 2",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031200",
"telephone_number": "631-254-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 DEER PARK AVE",
"address_2": "SUITE 2",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031200",
"telephone_number": "631-254-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIDER-ALSTODT",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "051462",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "051462-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "204062910",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "SAVEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.