Individual provider Active NPI

Evelyn Sundheim, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1780744466
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0463811 Issued in NY
Practice address
801 W 181St Street
Suite 9
New York, NY 10033
Phone
(212) 740-4040
Fax
(212) 740-1155
NPI assigned
Dec 11, 2006
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 0463811 NY Primary

Addresses

Primary practice location

801 W 181St Street
Suite 9
New York, NY 10033

Mailing address

7843 127 Street
Apt 1U
Flushing, NY 11367-3597

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
I20160314000524 NY Order and Referring Only - DentistPractitioner - Dentist 5597061895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0463811NYMDGeneral Practice Dentistry
046381NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Emmanuela Mena Dentist , P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1780744466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7843 127 STREET",
            "address_2": "APT 1U",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 181ST STREET",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-740-4040",
            "fax_number": "212-740-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIM",
        "first_name": "EVELYN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0463811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.