Individual provider Active NPI

Erin Michelle Prunty, D.D.S.

  • Dentist
  • Hopewell JCT, NY
National Provider Identifier
1689837346
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054407 Issued in NY
Practice address
1557 Route 82 Unit 8
Hopewell JCT, NY 12533-3328
Phone
(845) 243-2300
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054407 NY Primary

Addresses

Primary practice location

1557 Route 82 Unit 8
Hopewell JCT, NY 12533-3328

Mailing address

1557 Route 82 Unit 8
Hopewell JCT, NY 12533-3328
Phone (845) 243-2300

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
I20150508001337 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234458449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054407NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin M. Prunty DDS, PLLC Dentist PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1689837346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 ROUTE 82 UNIT 8",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125333328",
            "telephone_number": "845-243-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 ROUTE 82 UNIT 8",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125333328",
            "telephone_number": "845-243-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNTY",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell JCT, NY

Sources for this page

Verify at the official NPI Registry.