Individual provider Active NPI

John E Garnett, DDS

  • Dentist
  • Monticello, NY
National Provider Identifier
1477662328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
030162-1 Issued in NY
Practice address
523 Broadway
Suite # 1
Monticello, NY 12701-1111
Phone
(845) 794-0706
Fax
(845) 794-0606
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 030162-1 NY Primary

Addresses

Primary practice location

523 Broadway
Suite # 1
Monticello, NY 12701-1111

Mailing address

523 Broadway
Suite # 1
Monticello, NY 12701-1111
Phone (845) 794-0706

Other identifiers 1

IdentifierTypeStateIssuer
00298297MedicaidNY

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

LicenseStateTypeSpecialty
030162-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477662328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 BROADWAY",
            "address_2": "SUITE # 1",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011111",
            "telephone_number": "845-794-0706",
            "fax_number": "845-794-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 BROADWAY",
            "address_2": "SUITE # 1",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011111",
            "telephone_number": "845-794-0706",
            "fax_number": "845-794-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "030162-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00298297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, 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.

Verify at the official NPI Registry.