Active NPI
Benjamin Mark Geisler, DMD
- Dentist
- Ossining, NY
National Provider Identifier
1477893311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057505-1
- Practice address
- 165 Main St
Ossining, NY 10562-4702 - Phone
- (914) 941-1263
- NPI assigned
- Feb 28, 2013
- Last updated
- Feb 8, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 057505-1 | NY | Primary |
Addresses
Primary practice location
165 Main St
Ossining, NY 10562-4702
Mailing address
165 Main St
Ossining, NY 10562-4702
Phone (914) 941-1263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03981555 | 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 |
|---|---|---|---|---|
| I20190312002336 | NY | Order and Referring Only - Dentist | 0042550949 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057505-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1477893311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MAIN ST",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624702",
"telephone_number": "914-941-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 MAIN ST",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624702",
"telephone_number": "914-941-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISLER",
"first_name": "BENJAMIN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057505-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03981555",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.