Active NPI
Biagio Anthony Iannace, DDS,MS
- Periodontics
- Eastchester, NY
National Provider Identifier
1881741197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 44905
- Practice address
- 311 White Plains Rd
Eastchester, NY 10709-2801 - Phone
- (914) 776-2023
- Fax
- (914) 776-0823
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 44905 | NY | Primary |
Addresses
Primary practice location
311 White Plains Rd
Eastchester, NY 10709-2801
Mailing address
311 White Plains Rd
Eastchester, NY 10709-2801
Phone (914) 776-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44905 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881741197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 WHITE PLAINS RD",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107092801",
"telephone_number": "914-776-2023",
"fax_number": "914-776-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WHITE PLAINS RD",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107092801",
"telephone_number": "914-776-2023",
"fax_number": "914-776-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNACE",
"first_name": "BIAGIO",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "44905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastchester, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.