Individual provider Active NPI

Anne Chan-Ly, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rye, NY
National Provider Identifier
1417153370
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
053963-1 Issued in NY
Practice address
262 Purchase St
Rye, NY 10580-2169
Phone
(917) 751-4590
NPI assigned
Jun 26, 2007
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 053963-1 NY Primary

Addresses

Primary practice location

262 Purchase St
Rye, NY 10580-2169

Mailing address

262 Purchase St
Rye, NY 10580-2169
Phone (917) 751-4590

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
I20210119001198 NY Order and Referring Only - DentistPractitioner - Dentist 6901196252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053963-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Chan-Ly, DDS, PLLC Past Accepting new patients
Bayside Orthodontics PLLC Dentist PastSince Aug 23, 2020 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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1417153370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802169",
            "telephone_number": "917-751-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802169",
            "telephone_number": "917-751-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN-LY",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "053963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.