Individual provider Active NPI

Mitchell H Stearn, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1912036724
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03852951 Issued in NY
Practice address
770 Fulton St
Sensocare Dental
Brooklyn, NY 11238-1545
Phone
(718) 638-0600
Fax
(718) 638-6842
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 03852951 NY Primary

Addresses

Primary practice location

770 Fulton St
Sensocare Dental
Brooklyn, NY 11238-1545

Mailing address

770 Fulton St
Sensocare Dental
Brooklyn, NY 11238-1545
Phone (718) 638-0600

Other identifiers 1

IdentifierTypeStateIssuer
00875021MedicaidNY

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
I20160314000868 NY Order and Referring Only - DentistPractitioner - Dentist 3375849680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03852951NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912036724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 FULTON ST",
            "address_2": "SENSOCARE DENTAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381545",
            "telephone_number": "718-638-0600",
            "fax_number": "718-638-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 FULTON ST",
            "address_2": "SENSOCARE DENTAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381545",
            "telephone_number": "718-638-0600",
            "fax_number": "718-638-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARN",
        "first_name": "MITCHELL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "03852951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.