Active NPI
David Monin, DMD
- Dentist
- Halfmoon, NY
National Provider Identifier
1639798390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858946
- Practice address
- 1532 Route 9
Halfmoon, NY 12065-5605 - Phone
- (518) 662-7598
- NPI assigned
- Apr 13, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858946 | MA | Primary |
Addresses
Primary practice location
1532 Route 9
Halfmoon, NY 12065-5605
Mailing address
25 Berkshire Dr
Albany, NY 12205-1215
Phone (518) 419-9870
Other practice location 1
274 Newbury St
Boston, MA 02116-2485
Phone (617) 262-0106
Other practice location 2
1423 Broadway
Saugus, MA 01906-4707
Phone (781) 941-2900
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 |
|---|---|---|---|
| DN1858946 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 42 North Dental Care, LLC | Past | Accepting new patients | |
| Dental Experts, LLC | Past | Accepting new patients | |
| 42 North Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Gentle Dental Newbury St
- Dental Clinic/Center
- Boston, MA
- NPI 1023387867
-
- General Practice Dentistry
- Melrose Park, IL
- NPI 1780855775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1639798390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BERKSHIRE DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051215",
"telephone_number": "518-419-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 ROUTE 9",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655605",
"telephone_number": "518-662-7598"
}
],
"practiceLocations": [
{
"address_1": "274 Newbury St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021162485",
"country_code": "US",
"telephone_number": "617-262-0106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1423 Broadway",
"address_purpose": "LOCATION",
"city": "Saugus",
"state": "MA",
"postal_code": "019064707",
"country_code": "US",
"telephone_number": "781-941-2900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONIN",
"first_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.