Active NPI
Loreane Miryam Engelhardt, D.D.S.
- General Practice Dentistry
- Smithtown, NY
National Provider Identifier
1639297823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043284
- Practice address
- 99 Hollywood Dr
Smithtown, NY 11787-3135 - Phone
- (631) 366-5816
- Fax
- (631) 366-2935
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 043284 | NY | Primary |
Addresses
Primary practice location
99 Hollywood Dr
Smithtown, NY 11787-3135
Mailing address
3 Pilgrim Dr
Port Jefferson, NY 11777-1409
Phone (631) 928-6511
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404000290 | NY | Order and Referring Only - Oral Surgery | 6800193079 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043284 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639297823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PILGRIM DR",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771409",
"telephone_number": "631-928-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 HOLLYWOOD DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873135",
"telephone_number": "631-366-5816",
"fax_number": "631-366-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "LOREANE",
"middle_name": "MIRYAM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
- Emotional Health Counseling Consulting LCSW PC
- Empire Medicine & Rehabilitation
- Employee Assistance Resource Services
- Endocrine Associates of Long Island, PC
- Jamie Todd Eng
- Emily English, LMSW
- Alexander Epelbaum, M.D.
- Shelley J Epstein, MD
- Helen Erdmann, MS, CASAC
- Erica Zeller Licensed Clinical Social Work PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.