NPIMap

Organization Active NPI

Martin R. Boorin, DMD, PC

  • Dental Anesthesiology
  • Dix Hills, NY
National Provider Identifier
1750492674
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
039997 Issued in NY
Legal business name
MARTIN R. BOORIN, DMD, PC
Doing business as
Anesthesia for Dental Health
Practice address
1087 Westminster Ave
Dix Hills, NY 11746-6340
Phone
(516) 776-0716
Fax
(631) 940-7227
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Martin R. Boorin, DMD
Title
President
Phone
(516) 776-0716

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 039997 NY
Dental AnesthesiologyGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0004X 039997 NY Primary
Dental AnesthesiologyGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0004X 7006 CT
Dental AnesthesiologyGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0004X 220101606400 NJ

Addresses

Primary practice location

1087 Westminster Ave
Dix Hills, NY 11746-6340

Mailing address

P.O. Box 107
Huntington Station, NY 11746
Phone (631) 940-3690

Other names 1

  • Anesthesia for Dental Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1750492674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 107",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-940-3690",
            "fax_number": "631-940-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 WESTMINSTER AVE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466340",
            "telephone_number": "516-776-0716",
            "fax_number": "631-940-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R. BOORIN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BOORIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-776-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "039997",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "039997",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "7006",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NJ",
            "license": "220101606400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia for Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.