Scott Owen Kissel, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

042331 Issued in NY

Practice address

501 Madison Ave
Suite 2101
New York, NY 10022-5611

Phone

(212) 702-9088

Fax

(212) 702-0717

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467664722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "address_2": "SUITE 2101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225611",
            "telephone_number": "212-702-9088",
            "fax_number": "212-702-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "address_2": "SUITE 2101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225611",
            "telephone_number": "212-702-9088",
            "fax_number": "212-702-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "SCOTT",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "042331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Kiss, CASAC-T
• Lawrence P Kiss, M.D.
• Szilard Kiss, MD
• David W Kissane, MBBS
• Maxwell Johann Kissel, MD
• Alexa Kisselbach
• Irina Kissin, M.D.
• Alex Kissinson
• Michele Kissous-Hunt, PA
• Bryan Kist, PT

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.