Active NPI
David R Dasher, DDS
- Dentist
- Syracuse, NY
National Provider Identifier
1497729784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 032071
- Practice address
- 819 S Salina St
Syracuse, NY 13202-3527 - Phone
- (315) 476-7921
- Fax
- (315) 474-1448
- NPI assigned
- Feb 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19598 | TX | |
| Dentist | 122300000X | 032071 | NY | Primary |
Addresses
Primary practice location
819 S Salina St
Syracuse, NY 13202-3527
Mailing address
819 S Salina St
Syracuse, NY 13202-3527
Phone (315) 476-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040591201 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19598 | TX | MD | Mental Health Counselor |
| 032071 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1497729784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023527",
"telephone_number": "315-476-7921",
"fax_number": "315-474-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023527",
"telephone_number": "315-476-7921",
"fax_number": "315-474-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASHER",
"first_name": "DAVID",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19598",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "032071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040591201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.