Individual provider Active NPI

Vincent A. Conti, D.D.S.

  • General Practice Dentistry
  • Mineola, NY
National Provider Identifier
1841406758
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037881 Issued in NY
Practice address
499 Jericho Tpke
Suite 106
Mineola, NY 11501-1136
Phone
(516) 280-2802
Fax
(516) 747-6049
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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 037881 NY Primary

Addresses

Primary practice location

499 Jericho Tpke
Suite 106
Mineola, NY 11501-1136

Mailing address

499 Jericho Tpke
Suite 106
Mineola, NY 11501-1136
Phone (516) 280-2802

Other identifiers 1

IdentifierTypeStateIssuer
00893861MedicaidNY

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
I20160506000556 NY Order and Referring Only - DentistPractitioner - Dentist 3173822541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037881NYMDPhysical Therapist

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": "1352764800000",
    "number": "1841406758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 JERICHO TPKE",
            "address_2": "SUITE 106",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011136",
            "telephone_number": "516-280-2802",
            "fax_number": "516-747-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 JERICHO TPKE",
            "address_2": "SUITE 106",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011136",
            "telephone_number": "516-280-2802",
            "fax_number": "516-747-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "VINCENT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00893861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.