Individual provider Active NPI

Carlos Acosta, DDS

  • Dentist
  • New York, NY
National Provider Identifier
1831412865
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046220-1 Issued in NY
Practice address
165 Sherman Ave
5D
New York, NY 10034-4602
Phone
(718) 584-3826
Fax
(718) 584-7309
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046220-1 NY Primary

Addresses

Primary practice location

165 Sherman Ave
5D
New York, NY 10034-4602

Mailing address

165 Sherman Ave
5D
New York, NY 10034-4602
Phone (718) 584-3826

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230315001668 NY Practitioner - Oral SurgeryPractitioner - Dentist 8123386380 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046220-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
3545 Johnson Blvd Dental PC CurrentSince Jan 1, 2023 Accepting new patients
43 Chruch Street Dental PC CurrentSince Jan 1, 2023 Accepting new patients
Alejandro Williams Dental Office PC CurrentSince Jan 1, 2023 Accepting new patients
Bonita Sonrisa Dental Ipa CurrentSince Jan 1, 2023 Accepting new patients
Bonita Sonrisa Dental Mso CurrentSince Jan 1, 2023 Accepting new patients

Locations

759 4th Ave
Brooklyn, NY 11232
Phone (718) 832-1194

1810 Harriet St
Elmont, NY 11003
Phone (516) 354-3371

736 W 181st St
Apt 1I
New York, NY 10033
Phone (347) 681-1800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1831412865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN AVE",
            "address_2": "5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344602",
            "telephone_number": "718-584-3826",
            "fax_number": "718-584-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SHERMAN AVE",
            "address_2": "5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344602",
            "telephone_number": "718-584-3826",
            "fax_number": "718-584-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.