Long Island Dentistry PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

038668 Issued in NY

Legal business name

LONG ISLAND DENTISTRY PLLC

Practice address

126 Gnarled Hollow Rd
East Setauket, NY 11733-1975

Phone

(631) 689-9777

Fax

(631) 689-2108

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ira D Koeppel, DDSNPI 1427275544

Title

Owner

Phone

(631) 689-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira D. Koeppel, D.D.S.

  • General Practice Dentistry
  • East Setauket, NY
  • NPI 1427275544
  NPD (past) Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1548650054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 GNARLED HOLLOW RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331975",
            "telephone_number": "631-689-9777",
            "fax_number": "631-689-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GNARLED HOLLOW RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331975",
            "telephone_number": "631-689-9777",
            "fax_number": "631-689-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "KOEPPEL",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-689-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "038668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Little
• Tracey Little, M.A. ED.
• Alexander Llinas, M.D., PH.D.
• Christina Lomonaco
• Long Island Child Psychiatry, PLLC
• Long Island Digestive Disease Consultants, PC
• Long Island Pathology Inc
• Long Island Physical Therapy Services, P.C.
• Long Island Pulmonary Care
• Robert J Long, FNP

• Durable Medical Equipment & Medical Supplies in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.