Individual provider Active NPI

Michele Sabado Carpo, D.D.S.

  • Dentist
  • Flushing, NY
National Provider Identifier
1699089136
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054981-1 Issued in NY
Practice address
4161 Kissena Blvd
Suite #5
Flushing, NY 11355-3105
Phone
(718) 886-6666
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054981-1 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Suite #5
Flushing, NY 11355-3105

Mailing address

4161 Kissena Blvd
Suite #5
Flushing, NY 11355-3105
Phone (718) 886-6666

Other identifiers 1

IdentifierTypeStateIssuer
3250084MedicaidNY

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
I20130524000318 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931347366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054981-1NYMDDentist
054981NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1699089136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE #5",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-886-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE #5",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-886-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPO",
        "first_name": "MICHELE",
        "middle_name": "SABADO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054981-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3250084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.