Active NPI
Antoinette Siciliano, DDS
- General Practice Dentistry
- Yonkers, NY
National Provider Identifier
1629261896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 049091
- Practice address
- 35 East Grassy Sprain Rd
Suite 103
Yonkers, NY 10710 - Phone
- (914) 337-5252
- Fax
- (914) 337-1909
- NPI assigned
- Aug 21, 2007
- Last updated
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 049091 | NY | Primary |
Addresses
Primary practice location
35 East Grassy Sprain Rd
Suite 103
Yonkers, NY 10710
Mailing address
35 East Grassy Sprain Rd
103
Yonkers, NY 10710
Phone (914) 337-5252
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049091 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concerned Dental Care of Westchester P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Yonkers, NY
- NPI 1609100262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1629261896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EAST GRASSY SPRAIN RD",
"address_2": "103",
"city": "YONKERS",
"state": "NY",
"postal_code": "10710",
"telephone_number": "914-337-5252",
"fax_number": "914-337-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EAST GRASSY SPRAIN RD",
"address_2": "SUITE 103",
"city": "YONKERS",
"state": "NY",
"postal_code": "10710",
"telephone_number": "914-337-5252",
"fax_number": "914-337-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIANO",
"first_name": "ANTOINETTE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.