Individual provider Active NPI

Frank Celenza, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1487864120
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
039860-1 Issued in NY
Practice address
880 5TH Ave
New York, NY 10021-4951
Phone
(212) 327-2623
Fax
(212) 327-2627
NPI assigned
May 23, 2007
Last updated
Nov 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 039860-1 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 039860-1 NY Primary

Addresses

Primary practice location

880 5TH Ave
New York, NY 10021-4951

Mailing address

880 5TH Ave
New York, NY 10021-4951
Phone (212) 327-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20161003002640 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901126416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039860-1NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1487864120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214951",
            "telephone_number": "212-327-2623",
            "fax_number": "212-327-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214951",
            "telephone_number": "212-327-2623",
            "fax_number": "212-327-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELENZA",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "039860-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "039860-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.