Active NPI
Luz Amparo Krestin, D.D.S.
- General Practice Dentistry
- White Plains, NY
National Provider Identifier
1669717096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 043280
- Practice address
- 10 Mitchell PL
Ste.102
White Plains, NY 10601-4342 - Phone
- (914) 683-5203
- Fax
- (914) 289-0846
- NPI assigned
- Dec 12, 2012
- 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 | 043280 | NY | Primary |
Addresses
Primary practice location
10 Mitchell PL
Ste.102
White Plains, NY 10601-4342
Mailing address
10 Mitchell PL
Ste.102
White Plains, NY 10601-4342
Phone (914) 683-5203
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 |
|---|---|---|---|
| 043280 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Dental Provider PLLC | Past | Accepting new patients | |
| Dental and Cosmetic Group of Westchester | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- White Plains, NY
- NPI 1194871590
-
- Dentist
- White Plains, NY
- NPI 1174994529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1669717096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MITCHELL PL",
"address_2": "STE.102",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014342",
"telephone_number": "914-683-5203",
"fax_number": "914-289-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MITCHELL PL",
"address_2": "STE.102",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014342",
"telephone_number": "914-683-5203",
"fax_number": "914-289-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESTIN",
"first_name": "LUZ",
"middle_name": "AMPARO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "043280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.