Active NPI
Brett Spielvogel, DDS
- General Practice Dentistry
- Port Chester, NY
National Provider Identifier
1710196225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038976-1
- Practice address
- 430 Westchester Ave
Port Chester, NY 10573-2805 - Phone
- (914) 939-1185
- Fax
- (914) 939-5788
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 038976-1 | NY | Primary |
Addresses
Primary practice location
430 Westchester Ave
Port Chester, NY 10573-2805
Mailing address
430 Westchester Ave
Port Chester, NY 10573-2805
Phone (914) 939-1185
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729009283 | NY | Order and Referring Only - Oral Surgery | 1951615368 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038976-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710196225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WESTCHESTER AVE",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732805",
"telephone_number": "914-939-1185",
"fax_number": "914-939-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WESTCHESTER AVE",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732805",
"telephone_number": "914-939-1185",
"fax_number": "914-939-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIELVOGEL",
"first_name": "BRETT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038976-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
- Stephen Smirlock, DPM
- Michael Thomas Solano, MS, CCC-SLP
- Sandy Soler, LMSW
- Shayna Angelina Sommer, CASAC
- Speech Language Pathology and Occupational Therapy of Westchester, PLL
- Jeanette Spinelli, RN
- Jaclyn Rose Spitzer, FNP-BC
- Margaret Statile, NP
- Linda Marie Stelluti, SLP-CCC-TSHH
- Sandra Stepanovska, FNP
Sources for this page
- 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.