Individual provider Active NPI

Richard C Saline, DMD

  • Dentist
  • Woodhaven, NY
National Provider Identifier
1497775415
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028790-1 Issued in NY
Practice address
8802 87TH St
Woodhaven, NY 11421-2538
Phone
(718) 441-6645
Fax
(718) 366-7206
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 028790-1 NY Primary

Addresses

Primary practice location

8802 87TH St
Woodhaven, NY 11421-2538

Mailing address

8802 87TH St
Woodhaven, NY 11421-2538
Phone (718) 441-6645

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423001526 NY Order and Referring Only - DentistPractitioner - Dentist 7810250008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028790-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1497775415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 87TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212538",
            "telephone_number": "718-441-6645",
            "fax_number": "718-366-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 87TH ST",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212538",
            "telephone_number": "718-441-6645",
            "fax_number": "718-366-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINE",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028790-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.