Active NPI
Alan M Smolen, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1821004573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052195-1
- Practice address
- 693 5TH Ave FL 14
New York, NY 10022 - Phone
- (212) 319-6363
- NPI assigned
- Aug 1, 2006
- Last updated
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS020298L | PA | |
| General Practice Dentistry | 1223G0001X | 052195-1 | NY | Primary |
Addresses
Primary practice location
693 5TH Ave FL 14
New York, NY 10022
Mailing address
196 E 75TH St Apt 9B
New York, NY 10021-3260
Phone (267) 566-2730
Other practice location 1
50 W 97th St Apt 1C
New York, NY 10025-6004
Phone (212) 222-5225
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 |
|---|---|---|---|
| 052195-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaun G Massiah DMD PC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New York, NY
- NPI 1659472561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1821004573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 E 75TH ST APT 9B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213260",
"telephone_number": "267-566-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 5TH AVE FL 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-319-6363"
}
],
"practiceLocations": [
{
"address_1": "50 W 97th St Apt 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100256004",
"country_code": "US",
"telephone_number": "212-222-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOLEN",
"first_name": "ALAN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS020298L",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052195-1",
"primary": true
}
],
"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 Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.