Active NPI
Nicole Simone Teplitz, DDS
- General Practice Dentistry
- White Plains, NY
National Provider Identifier
1558856872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 061048
- Practice address
- 47 Mamaroneck Ave
White Plains, NY 10601-4215 - Phone
- (914) 997-0566
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12773 | CT | |
| General Practice Dentistry | 1223G0001X | DN24014 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| General Practice Dentistry | 1223G0001X | 061048 | NY | Primary |
Addresses
Primary practice location
47 Mamaroneck Ave
White Plains, NY 10601-4215
Mailing address
81 Sterling Ave
Harrison, NY 10528-3528
Other practice location 1
1730 Central Park Ave
Yonkers, NY 10710-4905
Phone (914) 793-8700
Other practice location 2
25 N River Rd
Stuart, FL 34996-6631
Phone (772) 828-0222
Other practice location 3
45 Park Ave Ph 1
New York, NY 10016-3494
Phone (212) 779-7743
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24014 | FL | MD | General Practice Dentistry |
| 061048 | NY | MD | General Practice Dentistry |
| 12773 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1558856872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 STERLING AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105283528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014215",
"telephone_number": "914-997-0566"
}
],
"practiceLocations": [
{
"address_1": "1730 Central Park Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107104905",
"country_code": "US",
"telephone_number": "914-793-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 N River Rd",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349966631",
"country_code": "US",
"telephone_number": "772-828-0222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Park Ave Ph 1",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100163494",
"country_code": "US",
"telephone_number": "212-779-7743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEPLITZ",
"first_name": "NICOLE",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2021-05-19",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "12773",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN24014",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "061048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.