Individual provider Active NPI

Servio J. Tuero, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1841406352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037962 Issued in NY
Practice address
115 Central Park W
Suite 8
New York, NY 10023-4198
Phone
(212) 362-3993
Fax
(212) 362-3993
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037962 NY Primary

Addresses

Primary practice location

115 Central Park W
Suite 8
New York, NY 10023-4198

Mailing address

115 Central Park W
Suite 8
New York, NY 10023-4198
Phone (212) 362-3993

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
I20160216002087 NY Order and Referring Only - DentistPractitioner - Dentist 2062717895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037962NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Servio J. Tuero, D.D.S., PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841406352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CENTRAL PARK W",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234198",
            "telephone_number": "212-362-3993",
            "fax_number": "212-362-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CENTRAL PARK W",
            "address_2": "SUITE 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234198",
            "telephone_number": "212-362-3993",
            "fax_number": "212-362-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUERO",
        "first_name": "SERVIO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.