Clifford Baynon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047469 Issued in NY

Practice address

6278 Route 25a
Suite 6
Wading River, NY 11792-2017

Phone

(631) 929-8709

NPI assigned

Mar 19, 2010

Last updated

Mar 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Wading River Complete Dental Care PC

  • Dentist
  • Wading River, NY
  • NPI 1053471391
  Authorized official Same address or phone

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1578887592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A",
            "address_2": "SUITE 6",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922017",
            "telephone_number": "631-929-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A",
            "address_2": "SUITE 6",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922017",
            "telephone_number": "631-929-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNON",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Z. Almiroudis, SLP, TSHH, MSED
• Jacqueline Alexis Alvarado
• Marret Anderson, NP-C
• Danielle Lynn Bacile
• Daniel Bauman, P.T.
• Guy-Philippe Beauzile
• Danielle Bellucci, NP-C
• Sharon Bendzlowicz-Vogt, OTR/L
• Juliana Mazzzone Berko, MS
• Robert Bernard, M.D.

• General Practice Dentistry in Wading River, NY
• Providers in Wading River, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.