Active NPI
Valerie J Vincellette, DMD
- Dentist
- Hyde Park, NY
National Provider Identifier
1811143019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 039295-1
- Practice address
- 24 Main St
Hyde Park, NY 12538-1308 - Phone
- (845) 229-7070
- Fax
- (845) 229-7080
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 039295-1 | NY | Primary |
Addresses
Primary practice location
24 Main St
Hyde Park, NY 12538-1308
Mailing address
24 Main St
Hyde Park, NY 12538-1308
Phone (845) 229-7070
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039295-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Park Family Dental, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1811143019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MAIN ST",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381308",
"telephone_number": "845-229-7070",
"fax_number": "845-229-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAIN ST",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125381308",
"telephone_number": "845-229-7070",
"fax_number": "845-229-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCELLETTE",
"first_name": "VALERIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "039295-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.