Active NPI
Robert H. Panzer, DDS
- Dentist
- Great Neck, NY
National Provider Identifier
1649291055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 038612-1
- Practice address
- 23 Bond St
Great Neck, NY 11021-2025 - Phone
- (516) 487-7475
- NPI assigned
- Jul 21, 2006
- Last updated
- Dec 21, 2007
- 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 | 038612-1 | NY | Primary |
Addresses
Primary practice location
23 Bond St
Great Neck, NY 11021-2025
Mailing address
23 Bond St
Great Neck, NY 11021-2025
Phone (516) 487-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038612-1 | Other | NY | LICENSES |
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 |
|---|---|---|---|
| 038612-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1649291055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BOND ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212025",
"telephone_number": "516-487-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BOND ST",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212025",
"telephone_number": "516-487-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZER",
"first_name": "ROBERT",
"middle_name": "H.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "038612-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSES",
"identifier": "038612-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.