Active NPI
Michael D'Anna, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Staten Island, NY
National Provider Identifier
1467432435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 042118-1
- Practice address
- 115 Seguine Ave
Staten Island, NY 10309-3724 - Phone
- (718) 948-4384
- Fax
- (718) 227-0432
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 042118-1 | NY | Primary |
Addresses
Primary practice location
115 Seguine Ave
Staten Island, NY 10309-3724
Mailing address
115 Seguine Ave
Staten Island, NY 10309-3724
Phone (718) 948-4384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01593755 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20251003002253 | NY | Practitioner - Dentist | 6800392275 |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042118-1 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 042118 | NY | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Hall Dental, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Interoperability endpoints
- mdanna51516@northwell.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- New Hyde Park, NY
- NPI 1376268821
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467432435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SEGUINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093724",
"telephone_number": "718-948-4384",
"fax_number": "718-227-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SEGUINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093724",
"telephone_number": "718-948-4384",
"fax_number": "718-227-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANNA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "042118-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01593755",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.