Individual provider Active NPI

Alan Ira Yallowitz, DMD

  • Dentist
  • Little Falls, NY
National Provider Identifier
1841272796
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044482 Issued in NY
Practice address
513 Garden St
Little Falls, NY 13365-1405
Phone
(315) 823-3570
Fax
(315) 823-1432
NPI assigned
Nov 16, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044482 NY Primary

Addresses

Primary practice location

513 Garden St
Little Falls, NY 13365-1405

Mailing address

513 Garden St
Little Falls, NY 13365-1405
Phone (315) 823-3570

Other identifiers 1

IdentifierTypeStateIssuer
01386218MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 9, 2015 through Apr 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044482NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Falls Dental PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841272796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GARDEN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651405",
            "telephone_number": "315-823-3570",
            "fax_number": "315-823-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GARDEN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651405",
            "telephone_number": "315-823-3570",
            "fax_number": "315-823-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALLOWITZ",
        "first_name": "ALAN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01386218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NY

Sources for this page

Verify at the official NPI Registry.