NPIMap

Individual provider Active NPI

Anna Kupchik, D.D.S

  • General Practice Dentistry
  • Monsey, NY
National Provider Identifier
1780816074
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10204 Issued in CT
Practice address
7 Secora Rd
Apt. H-2
Monsey, NY 10952-3742
Phone
(213) 479-9547
NPI assigned
Aug 20, 2009
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58510 CA
General Practice Dentistry 1223G0001X 10204 CT Primary

Addresses

Primary practice location

7 Secora Rd
Apt. H-2
Monsey, NY 10952-3742

Mailing address

7 Secora Rd
Apt. H-2
Monsey, NY 10952-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58510CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Kupchik LLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1780816074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SECORA RD",
            "address_2": "APT. H-2",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SECORA RD",
            "address_2": "APT. H-2",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523742",
            "telephone_number": "213-479-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCHIK",
        "first_name": "ANNA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58510",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.