Active NPI
Luz Elena Mejia, DDS
- Dentist
- Cold Spring, NY
National Provider Identifier
1457550683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049295
- Practice address
- 3 Appaloosa Way
Cold Spring, NY 10516-4363 - Phone
- (845) 809-5017
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 049295 | NY | Primary |
Addresses
Primary practice location
3 Appaloosa Way
Cold Spring, NY 10516-4363
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150821014070 | NY | Order and Referring Only - Dentist | 8729393541 |
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": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1457550683",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 APPALOOSA WAY",
"city": "COLD SPRING",
"state": "NY",
"postal_code": "105164363",
"telephone_number": "845-809-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "LUZ",
"middle_name": "ELENA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cold Spring, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.