Active NPI
Gabriel Evan Senor, DMD
- Dentist
- New York, NY
National Provider Identifier
1790369676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062590-01
- Practice address
- 719 W 181St St
New York, NY 10033-4731 - Phone
- (212) 795-1040
- NPI assigned
- May 7, 2021
- Last updated
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062590-01 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
719 W 181St St
New York, NY 10033-4731
Mailing address
330 E 46TH St Apt 3M
New York, NY 10017-3047
Phone (914) 714-1352
Other practice location 1
3370 Baychester Ave
Bronx, NY 10475-1565
Phone (718) 671-2826
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062590-01 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heights Pharmacy Inc | Past | Accepting new patients | |
| Premier Oral Surgery, PLLC | Past | Accepting new patients | |
| Optimum Dental Care, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Bronx, NY
- NPI 1730440587
-
- Dental Clinic/Center
- Bronx, NY
- NPI 1538420385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1790369676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 46TH ST APT 3M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100173047",
"telephone_number": "914-714-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 W 181ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100334731",
"telephone_number": "212-795-1040"
}
],
"practiceLocations": [
{
"address_1": "3370 Baychester Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104751565",
"country_code": "US",
"telephone_number": "718-671-2826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SENOR",
"first_name": "GABRIEL",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-07",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062590-01",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.