Individual provider Active NPI

Steven Esposito, D.M.D.

  • General Practice Dentistry
  • Ballston Spa, NY
National Provider Identifier
1619970373
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38696 Issued in NY
Practice address
204 Malta Ave
Ballston Spa, NY 12020-1505
Phone
(518) 885-5010
Fax
(518) 885-4649
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 38696 NY Primary

Addresses

Primary practice location

204 Malta Ave
Ballston Spa, NY 12020-1505

Mailing address

204 Malta Ave
Ballston Spa, NY 12020-1505
Phone (518) 885-5010

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
I20150513001922 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688994734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38696NYMDGeneral Practice Dentistry
038696NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619970373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MALTA AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201505",
            "telephone_number": "518-885-5010",
            "fax_number": "518-885-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MALTA AVE",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201505",
            "telephone_number": "518-885-5010",
            "fax_number": "518-885-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "38696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.