Individual provider Active NPI

David A Krelenstein, DDS

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1770686941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0330271 Issued in NY
Practice address
1839 N Railroad Avenue
David Krelenstein DDS
Staten Island, NY 10306-2020
Phone
(718) 667-6021
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0330271 NY Primary

Addresses

Primary practice location

1839 N Railroad Avenue
David Krelenstein DDS
Staten Island, NY 10306-2020

Mailing address

1839 N Railroad Avenue
David Krelenstein DDS
Staten Island, NY 10306-2020
Phone (718) 667-6021

Other identifiers 1

IdentifierTypeStateIssuer
00291745MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001263 NY Order and Referring Only - DentistPractitioner - Dentist 0547568727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0330271NYMDGeneral Practice Dentistry
033027NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770686941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N RAILROAD AVENUE",
            "address_2": "DAVID KRELENSTEIN DDS",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062020",
            "telephone_number": "718-667-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N RAILROAD AVENUE",
            "address_2": "DAVID KRELENSTEIN DDS",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062020",
            "telephone_number": "718-667-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRELENSTEIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0330271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00291745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.