Individual provider Active NPI

Denise Anne Assogna, D.D.S.

  • Endodontics
  • Poughkeepsie, NY
National Provider Identifier
1417057696
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
042584-1 Issued in NY
Practice address
46 Fox St
Suite # 1
Poughkeepsie, NY 12601-4703
Phone
(845) 473-3636
Fax
(845) 485-3787
NPI assigned
Sep 25, 2006
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 042584-1 NY Primary

Addresses

Primary practice location

46 Fox St
Suite # 1
Poughkeepsie, NY 12601-4703

Mailing address

46 Fox St
Suite # 1
Poughkeepsie, NY 12601-4703
Phone (845) 473-3636

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000729 NY Order and Referring Only - DentistPractitioner - Dentist 4981916111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042584-1NYMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1417057696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FOX ST",
            "address_2": "SUITE # 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014703",
            "telephone_number": "845-473-3636",
            "fax_number": "845-485-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FOX ST",
            "address_2": "SUITE # 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014703",
            "telephone_number": "845-473-3636",
            "fax_number": "845-485-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSOGNA",
        "first_name": "DENISE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "042584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.