Individual provider Active NPI

Peter C Venokur, D.D.S.

  • Endodontics
  • White Plains, NY
National Provider Identifier
1508081746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
028506 Issued in NY
Practice address
10 Old Mamaroneck Rd
White Plains, NY 10605-1747
Phone
(914) 761-5505
Fax
(914) 761-5762
NPI assigned
Apr 14, 2007
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
Endodontics 1223E0200X 028506 NY Primary

Addresses

Primary practice location

10 Old Mamaroneck Rd
White Plains, NY 10605-1747

Mailing address

10 Old Mamaroneck Rd
White Plains, NY 10605-1747
Phone (914) 761-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 30, 2016 through Mar 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028506NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Harold D. Fink, DDS., Peter C. Venokur, DDS., P.C. Endodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508081746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051747",
            "telephone_number": "914-761-5505",
            "fax_number": "914-761-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051747",
            "telephone_number": "914-761-5505",
            "fax_number": "914-761-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENOKUR",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "028506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.