Individual provider Active NPI

William Stone, D.D.S.

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1902959869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
026260 Issued in NY
Practice address
21441 42ND Ave
Ste. 2C
Bayside, NY 11361-2963
Phone
(718) 423-8797
Fax
(718) 423-8701
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

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 026260 NY Primary

Addresses

Primary practice location

21441 42ND Ave
Ste. 2C
Bayside, NY 11361-2963

Mailing address

21441 42ND Ave
Ste. 2C
Bayside, NY 11361-2963
Phone (718) 423-8797

Other identifiers 1

IdentifierTypeStateIssuer
00285676MedicaidNY

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
I20161109000658 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921387226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026260NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902959869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21441 42ND AVE",
            "address_2": "STE. 2C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612963",
            "telephone_number": "718-423-8797",
            "fax_number": "718-423-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21441 42ND AVE",
            "address_2": "STE. 2C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612963",
            "telephone_number": "718-423-8797",
            "fax_number": "718-423-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "026260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.