Individual provider Active NPI

Nicole Simone Teplitz, DDS

  • General Practice Dentistry
  • White Plains, NY
National Provider Identifier
1558856872
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061048 Issued in NY
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

Updated by the provider on May 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN24014FLMDGeneral Practice Dentistry
061048NYMDGeneral Practice Dentistry
12773CTMDPhysical 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.

Verify at the official NPI Registry.