Steven Speroni, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046-480 Issued in NY

Practice address

160 Maiden Lane
Penn Yan, NY 14527-1201

Phone

(315) 536-2024

Fax

(315) 536-4005

NPI assigned

Apr 18, 2006

Last updated

May 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Finger Lakes Community Health

  dba Dundee Community Health

  • Federally Qualified Health Center (FQHC)
  • Dundee, NY
  • NPI 1366939878
  NPD (past)
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Sodus, NY
  • NPI 1669568465
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1801851597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIDEN LN",
            "address_2": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271208",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIDEN LANE",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271201",
            "telephone_number": "315-536-2024",
            "fax_number": "315-536-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERONI",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046-480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "046480",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04403132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soldiers & Sailors Memorial Hospital of Yates County (Soldiers & Sailors Memorial Hospital Hospitalist)
• Soldiers & Sailors Memorial Hospital of Yates County (Soldiers & Sailors Memorial Hospital Physician Other)
• Soldiers & Sailors Memorial Hospital of Yates County, Inc. (Soldiers & Sailors Memorial HospitaL MH)
• Soldiers and Sailors Memorial Hospital
• Lori Ann Spencer, RN
• Spotted Terrier Counseling and Consulting
• Carol Cronise Stash, PT
• Nancy Stone
• Kelley Maureen Stout, ANP
• Nathan Travis Stowell, NP

• General Practice Dentistry in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.