Individual provider Active NPI

Micheline Habashy-Santiago, DDS

  • General Practice Dentistry
  • Little Neck, NY
National Provider Identifier
1598957276
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045573 Issued in NY
Practice address
4007 Westmoreland St
Little Neck, NY 11363-1736
Phone
(718) 279-9503
Fax
(718) 279-9503
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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 045573 NY Primary

Addresses

Primary practice location

4007 Westmoreland St
Little Neck, NY 11363-1736

Mailing address

4007 Westmoreland St
Little Neck, NY 11363-1736
Phone (718) 279-9503

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
045573NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1598957276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 WESTMORELAND ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631736",
            "telephone_number": "718-279-9503",
            "fax_number": "718-279-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 WESTMORELAND ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631736",
            "telephone_number": "718-279-9503",
            "fax_number": "718-279-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABASHY-SANTIAGO",
        "first_name": "MICHELINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.