Individual provider Active NPI

Nancy Treyz Sutera, D.D.S

  • General Practice Dentistry
  • Katonah, NY
National Provider Identifier
1851517007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40173 Issued in NY
Practice address
190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804
Phone
(914) 232-1070
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

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 40173 NY Primary

Addresses

Primary practice location

190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804

Mailing address

190 Goldens Bridge Rd
The Bedford Professional Building
Katonah, NY 10536-2804
Phone (914) 232-1070

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
I20160421000588 NY Order and Referring Only - DentistPractitioner - Dentist 9931407194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40173NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851517007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "address_2": "THE BEDFORD PROFESSIONAL BUILDING",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362804",
            "telephone_number": "914-232-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "address_2": "THE BEDFORD PROFESSIONAL BUILDING",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362804",
            "telephone_number": "914-232-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTERA",
        "first_name": "NANCY",
        "middle_name": "TREYZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "40173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.