Organization Active NPI

Karyn M. Halpern, D.M.D., P.C.

Doing business as Port Jefferson Smiles

  • General Practice Dentistry
  • Port Jefferson Station, NY
National Provider Identifier
1679846687
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050590 Issued in NY
Legal business name
KARYN M. HALPERN, D.M.D., P.C.
Doing business as
Port Jefferson Smiles
Practice address
12 Roosevelt Ave
Port Jefferson Station, NY 11776-3391
Phone
(631) 928-1300
Fax
(631) 928-0616
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karyn M Halpern, DMDNPI 1952528218
Title
President
Phone
(631) 928-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 050590 NY Primary

Addresses

Primary practice location

12 Roosevelt Ave
Port Jefferson Station, NY 11776-3391

Mailing address

12 Roosevelt Ave
Port Jefferson Station, NY 11776-3391
Phone (631) 928-1300

Other names 1

  • Port Jefferson Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

12 Roosevelt Ave
Port Jefferson Station, NY 11776
Phone (631) 928-1300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1679846687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763391",
            "telephone_number": "631-928-1300",
            "fax_number": "631-928-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763391",
            "telephone_number": "631-928-1300",
            "fax_number": "631-928-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARYN M. HALPERN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "KARYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-928-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Jefferson Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.