Individual provider Active NPI

Eric Echelman, D.D.S.

  • Dentist
  • White Plains, NY
National Provider Identifier
1518100452
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37821 Issued in NY
Practice address
1230 Mamaroneck Ave
Suite 204
White Plains, NY 10605-5229
Phone
(914) 684-7045
Fax
(914) 684-7047
NPI assigned
Apr 8, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37821 NY Primary

Addresses

Primary practice location

1230 Mamaroneck Ave
Suite 204
White Plains, NY 10605-5229

Mailing address

1230 Mamaroneck Ave
Suite 204
White Plains, NY 10605-5229
Phone (914) 684-7045

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 Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37821NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Asnis & Echelman D.D.S., P.C. Past Accepting new patients
Cosmetic Dental Associates Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1518100452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MAMARONECK AVE",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055229",
            "telephone_number": "914-684-7045",
            "fax_number": "914-684-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MAMARONECK AVE",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055229",
            "telephone_number": "914-684-7045",
            "fax_number": "914-684-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHELMAN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "37821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.