Active NPI
Victor Omar Nesheiwat, D.D.S.
- Dentist
- Billings, NY
National Provider Identifier
1467474940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052855
- Practice address
- 2411 Route 82
Billings, NY 12510-9800 - Phone
- (845) 223-3966
- Fax
- (845) 223-7040
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 052855 | NY | Primary |
Addresses
Primary practice location
2411 Route 82
Billings, NY 12510-9800
Mailing address
9 Huyler Drive
Hyde Park, NY 12538
Phone (917) 686-9195
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 |
|---|---|---|---|
| 052855 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Dental Care P.C | Dentist | Past | Accepting new patients |
| Billings Dental Care PC | Past | 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.
-
- Dentist
- Billings, NY
- NPI 1013305937
-
- Dental Clinic/Center
- Billings, NY
- NPI 1265339527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467474940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HUYLER DRIVE",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "12538",
"telephone_number": "917-686-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 ROUTE 82",
"city": "BILLINGS",
"state": "NY",
"postal_code": "125109800",
"telephone_number": "845-223-3966",
"fax_number": "845-223-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHEIWAT",
"first_name": "VICTOR",
"middle_name": "OMAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.