Edward Louis Defuria, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

036910 Issued in NY

Practice address

2800 Court Street
Syracuse, NY 13208

Phone

(315) 455-5934

Fax

(315) 455-5935

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cny Periodontics and Implants, LLC

  • Periodontics
  • Syracuse, NY
  • NPI 1659932671
  NPD (past)
• Ehsoc Inc

  dba Eyecare of CNY

  • Optometrist
  • Syracuse, NY
  • NPI 1326119256
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871794594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 COURT STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13208",
            "telephone_number": "315-455-5934",
            "fax_number": "315-455-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 COURT STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13208",
            "telephone_number": "315-455-5934",
            "fax_number": "315-455-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFURIA",
        "first_name": "EDWARD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dedrick, LMFT-D
• Sidra Deen, MD
• Anthony Guy Defeo, PA-C
• Nathan Deforge
• Darcy Karen Defruscio, NP
• Nicole Defurio, LCSW
• Michael John Degennaro, CRNA
• Karen A. Degre, N.P.
• Jonathan E Dehors, D.C.
• Carly Jean Deihm, DO

• Dentist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.