Anthony J. Bacchi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046454-1 Issued in NY

Practice address

3366 Park Ave
Suite 201
Wantagh, NY 11793-3773

Phone

(516) 785-2255

NPI assigned

Nov 1, 2006

Last updated

Jan 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1750468443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933773",
            "telephone_number": "516-785-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 201",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933773",
            "telephone_number": "516-785-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHI",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046454-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE REGISTRATION",
            "identifier": "046454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy E Astrup
• Joanne Autero, LMSW
• Jill Axelrod, LMHC
• Jane Axman
• B Feig Licensed Behavioral Analyst PC
• Kim Elaine Backman, NP
• Tammy S. Baiko, M.S.
• Chandana Banerjee
• Mansi Barai
• Marni Schefter Barone, R.D

• General Practice Dentistry in Wantagh, NY
• Providers in Wantagh, 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 Jan 6, 2017; 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.