Individual provider Active NPI

Michael Sean Preston, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1578735965
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035929 Issued in NY
Practice address
350 5TH Ave
Suite 6923
New York, NY 10118-0110
Phone
(212) 563-6050
Fax
(212) 695-0160
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035929 NY Primary

Addresses

Primary practice location

350 5TH Ave
Suite 6923
New York, NY 10118-0110

Mailing address

350 5TH Ave
Suite 6923
New York, NY 10118-0110
Phone (212) 563-6050

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
035929NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1578735965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 5TH AVE",
            "address_2": "SUITE 6923",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101180110",
            "telephone_number": "212-563-6050",
            "fax_number": "212-695-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 5TH AVE",
            "address_2": "SUITE 6923",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101180110",
            "telephone_number": "212-563-6050",
            "fax_number": "212-695-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.