Three Village Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

054294 Issued in NY

Legal business name

THREE VILLAGE ORTHODONTICS

Practice address

2500 Nesconset Hwy
Building 6-B
Stony Brook, NY 11790-2555

Phone

(631) 689-3131

Fax

(631) 689-3529

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Everett, DDSNPI 1609000363

Title

President

Phone

(631) 689-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Colin Everett, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stony Brook, NY
  • NPI 1609000363
  NPD (past) Authorized official
• Michael Stephan Apton, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stony Brook, NY
  • NPI 1750303871
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1790149045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 6-B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-3131",
            "fax_number": "631-689-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 6-B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-3131",
            "fax_number": "631-689-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE VILLAGE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000000000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Nicole Thompson, MD
• Kimberly Thompson
• Lewis John Rubin Thompson, MD
• Three Village Central School District
• Three Village Medical, PC
• Three Village Physical Therapy PLLC
• Vishal Mano Thubrikar, M.D.
• Changtai Tian, MD
• Joseph Tirella, FNP-BC
• Stephanie Anne Tischler, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.