Keith Brian Annapolen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033659 Issued in NY

Practice address

2883 Judith Dr
Bellmore, NY 11710-5308

Phone

(516) 826-7272

Fax

(516) 826-7242

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801912571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 JUDITH DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105308",
            "telephone_number": "516-826-7272",
            "fax_number": "516-826-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 JUDITH DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105308",
            "telephone_number": "516-826-7272",
            "fax_number": "516-826-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNAPOLEN",
        "first_name": "KEITH",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bellmore, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.