Individual provider Active NPI

Boris Korik, DDS

  • Dentist
  • Airmont, NY
National Provider Identifier
1851389084
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
039730 Issued in NY
Practice address
545 Saddle River Rd
Airmont, NY 10952-4921
Phone
(845) 352-0691
Fax
(845) 352-0691
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 039730 NY Primary

Addresses

Primary practice location

545 Saddle River Rd
Airmont, NY 10952-4921

Mailing address

545 Saddle River Rd
Airmont, NY 10952-4921
Phone (845) 352-0691

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
I20150521000953 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496075046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039730NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851389084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SADDLE RIVER RD",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524921",
            "telephone_number": "845-352-0691",
            "fax_number": "845-352-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SADDLE RIVER RD",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109524921",
            "telephone_number": "845-352-0691",
            "fax_number": "845-352-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIK",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "039730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

Verify at the official NPI Registry.