Active NPI
Steven Jay Konis, D.D.S.
- Dentist
- Mount Kisco, NY
National Provider Identifier
1851540801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 046346
- Practice address
- 666 Lexington Ave
Suite 200
Mount Kisco, NY 10549-3632 - Phone
- (914) 666-4976
- Fax
- (914) 666-8811
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 046346 | NY | Primary |
Addresses
Primary practice location
666 Lexington Ave
Suite 200
Mount Kisco, NY 10549-3632
Mailing address
666 Lexington Ave
Suite 200
Mount Kisco, NY 10549-3632
Phone (914) 666-4976
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414002051 | NY | Order and Referring Only - Dentist | 9335447929 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046346 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1851540801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 LEXINGTON AVE",
"address_2": "SUITE 200",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493632",
"telephone_number": "914-666-4976",
"fax_number": "914-666-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "666 LEXINGTON AVE",
"address_2": "SUITE 200",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493632",
"telephone_number": "914-666-4976",
"fax_number": "914-666-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONIS",
"first_name": "STEVEN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "046346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.