Active NPI
Dina Fara
- Dental Hygienist
- Freeport, NY
National Provider Identifier
1457065633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 021559
- Practice address
- 101 S Bergen PL
Freeport, NY 11520-3528 - Phone
- (516) 546-9077
- Fax
- (516) 623-9191
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 021559 | NY | Primary |
Addresses
Primary practice location
101 S Bergen PL
Freeport, NY 11520-3528
Mailing address
1600 Stewart Ave Ste 300
Westbury, NY 11590-6611
Phone (516) 396-0187
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 |
|---|---|---|---|
| 021559 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1457065633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 STEWART AVE STE 300",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906611",
"telephone_number": "516-396-0187",
"fax_number": "516-546-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S BERGEN PL",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203528",
"telephone_number": "516-546-9077",
"fax_number": "516-623-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARA",
"first_name": "DINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "021559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.