Individual provider Active NPI

Olivia Masry, DDS

  • General Practice Dentistry
  • Briarcliff Manor, NY
National Provider Identifier
1649477266
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
031583 Issued in NY
Practice address
312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354
Phone
(914) 762-4422
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 031583 NY Primary

Addresses

Primary practice location

312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354

Mailing address

312 Chappaqua Rd
Briarcliff Manor, NY 10510-1354
Phone (914) 762-4422

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
I20150406000146 NY Order and Referring Only - DentistPractitioner - Dentist 6507928082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649477266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHAPPAQUA RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CHAPPAQUA RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101354",
            "telephone_number": "914-762-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASRY",
        "first_name": "OLIVIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

Verify at the official NPI Registry.