David Alter Diament, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063503 Issued in NY

Practice address

809 State Route 208
Monroe, NY 10950-1829

Phone

(845) 782-5040

NPI assigned

Mar 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Monroe Dental Group, LLC

  • Dentist
  • Monroe, NY
  • NPI 1407190333
  NPD (past)
• Pine Bush Dental Group

  • General Practice Dentistry
  • Pine Bush, NY
  • NPI 1588104376
  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1740920115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WALRAVEN DR APT 1A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665121",
            "telephone_number": "732-853-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 STATE ROUTE 208",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501829",
            "telephone_number": "845-782-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMENT",
        "first_name": "DAVID",
        "middle_name": "ALTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Deutsch, OTR/L
• Yetti Deutsch
• Devash Sales Inc.
• Devin Beach DC PLLC
• Michael Devito
• Shannon Diehl, PA-C
• Michelle Dilorenzo
• Emily Anne Dimartino, MS, OTR/L
• Thomas Dimauro, LPN
• Caryn Levine Dinetz, LPT

• General Practice Dentistry in Monroe, NY
• Providers in Monroe, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.