Active NPI
Manhattan Dental Care PLLC
- Customized Equipment (DME)
- Commack, NY
National Provider Identifier
1720682255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MANHATTAN DENTAL CARE PLLC
- Practice address
- 5 Commack Rd
Commack, NY 11725-3478 - Phone
- (516) 506-0000
- Fax
- (516) 336-3664
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Chase, DDS
- Title
- President
- Phone
- (716) 472-2290
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
5 Commack Rd
Commack, NY 11725-3478
Mailing address
5 Commack Rd
Commack, NY 11725-3478
Phone (516) 506-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304000056 | NY | DME Supplier - Oral Surgery - Dentist | 5991034340 | Practice locations: Commack, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
5 Commack Rd
Commack, NY 11725
Phone (516) 506-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Melville, NY
- NPI 1831107622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624665600000",
"number": "1720682255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253478",
"telephone_number": "516-506-0000",
"fax_number": "516-336-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COMMACK RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253478",
"telephone_number": "516-506-0000",
"fax_number": "516-336-3664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANHATTAN DENTAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2021-06-26",
"certification_date": "2021-06-26",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-472-2290",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.