Active NPI
Eric A Michaels, DDS
- Dentist
- Locust Valley, NY
National Provider Identifier
1821281239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051571
- Practice address
- 169 Forest Ave
Locust Valley, NY 11560-2141 - Phone
- (516) 671-7333
- Fax
- (516) 671-0844
- NPI assigned
- Aug 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 051571 | NY | Primary |
Addresses
Primary practice location
169 Forest Ave
Locust Valley, NY 11560-2141
Mailing address
169 Forest Ave
Locust Valley, NY 11560-2141
Phone (516) 671-7333
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 |
|---|---|---|---|
| 051571 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1821281239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 FOREST AVE",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115602141",
"telephone_number": "516-671-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 FOREST AVE",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115602141",
"telephone_number": "516-671-7333",
"fax_number": "516-671-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Locust Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.