Individual provider Active NPI

Melissa B Honrado, D.D.S.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1467684910
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054359-1 Issued in NY
Practice address
470 Pendale St
Staten Island, NY 10306-4055
Phone
(718) 351-3449
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054359-1 NY Primary

Addresses

Primary practice location

470 Pendale St
Staten Island, NY 10306-4055

Mailing address

673 9TH Ave
Apt 2S
New York, NY 10036-3621
Phone (646) 584-1654

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
054359-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1467684910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 9TH AVE",
            "address_2": "APT 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363621",
            "telephone_number": "646-584-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PENDALE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064055",
            "telephone_number": "718-351-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONRADO",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.