Individual provider Active NPI

Alfonso F Pineyro, DDS

  • Dentist
  • Fort Plain, NY
National Provider Identifier
1619094901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
031743 Issued in NY
Practice address
90 Canal Street
Fort Plain, NY 13339
Phone
(518) 993-3023
Fax
(518) 993-3023
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 031743 NY Primary

Addresses

Primary practice location

90 Canal Street
Fort Plain, NY 13339

Mailing address

90 Canal Street
Fort Plain, NY 13339
Phone (518) 993-3023

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160308001635 NY Order and Referring Only - DentistPractitioner - Dentist 1355647959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619094901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CANAL STREET",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "13339",
            "telephone_number": "518-993-3023",
            "fax_number": "518-993-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CANAL STREET",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "13339",
            "telephone_number": "518-993-3023",
            "fax_number": "518-993-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEYRO",
        "first_name": "ALFONSO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "031743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Plain, NY

Sources for this page

Verify at the official NPI Registry.