Individual provider Active NPI

Michele Kaider-Alstodt

  • Pediatric Dentistry
  • North Babylon, NY
National Provider Identifier
1396946026
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051462-1 Issued in NY
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204062910OtherNYTAX ID

Other names 1

  • Michele Savel Former name

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

LicenseStateTypeSpecialty
051462NYMDPediatric Dentist
051462-1NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.