Individual provider Active NPI

Arthur Mark Kammerman

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garden City, NY
National Provider Identifier
1881884906
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
039274 Issued in NY
Practice address
226 7TH St
Ste. 301
Garden City, NY 11530-5723
Phone
(516) 742-4110
Fax
(516) 742-3804
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 039274 NY Primary

Addresses

Primary practice location

226 7TH St
Ste. 301
Garden City, NY 11530-5723

Mailing address

226 7TH St
Ste. 301
Garden City, NY 11530-5723
Phone (516) 742-4110

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
I20200203001665 NY Order and Referring Only - DentistPractitioner - Dentist 3476989856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1881884906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "STE. 301",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-742-4110",
            "fax_number": "516-742-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 7TH ST",
            "address_2": "STE. 301",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305723",
            "telephone_number": "516-742-4110",
            "fax_number": "516-742-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERMAN",
        "first_name": "ARTHUR",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "039274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.