Anthony Disanti, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

036484 Issued in NY

Practice address

280 Middle Country Rd Ste K
Selden, NY 11784-2532

Phone

(631) 732-9000

Fax

(631) 736-7982

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coarm-Selden Dental Group

  • General Practice Dentistry
  • Selden, NY
  • NPI 1295830594
  NPD (past)
• Coram Selden Dental Group PLLC

  • General Practice Dentistry
  • Selden, NY
  • NPI 1760188403
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699861724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MIDDLE COUNTRY RD STE K",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842532",
            "telephone_number": "631-732-9000",
            "fax_number": "631-736-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLE COUNTRY RD STE K",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842532",
            "telephone_number": "631-732-9000",
            "fax_number": "631-736-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTI",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "036484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Connor Dibble, DPT
• Patricia Diefenbach
• Diana Rose Diem
• Sam Digiovanna, RPH
• Monica Dimitrakakis
• Discount Core LLC
• Thomas Walter Dixon, LICENSED ACUPUNCTURI
• Daniela Dobra, PHARM.D,
• Nicole Kathleen Dobriner
• Juliette Lyn Doherty, OTR/L

• Endodontics in Selden, NY
• Providers in Selden, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.