Active NPI
Richard C Nesi, DDS
- Dentist
- Southampton, NY
National Provider Identifier
1407950124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 027353
- Practice address
- 67 Hampton Rd
Southampton, NY 11968 - Phone
- (631) 287-1472
- Fax
- (631) 287-2346
- NPI assigned
- Sep 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 027353 | NY | Primary |
Addresses
Primary practice location
67 Hampton Rd
Southampton, NY 11968
Mailing address
832 David Whites Lane
Southampton, NY 11968
Phone (631) 287-1472
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160520000138 | NY | Order and Referring Only - Dentist | 8426347055 | |
| O20200415000607 | NY | DME Supplier - Oral Surgery - Dentist | 0244660256 | Practice locations: Southampton, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407950124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 DAVID WHITES LANE",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "11968",
"telephone_number": "631-287-1472",
"fax_number": "631-287-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 HAMPTON RD",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "11968",
"telephone_number": "631-287-1472",
"fax_number": "631-287-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESI",
"first_name": "RICHARD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "027353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
- Unnikrishnan Nair, DO
- Sammy G Nakhla, M.D.
- Sara Nardi, PA
- Kristin Patrick Naso, D.O.
- John Christopher Neill, PHD
- New York Society for the Relief of Ruptured & Crippled Maintaining (HSS Southampton)
- Jacqueline Chantal Nicolich, RPA-C
- Hormuz Nicolwala, M.D.
- Diana Francis Nielsen, PTA
- Albert Noniyev, D.O
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.