David Bruce Presser, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36462 Issued in NY

Practice address

56 Clifton Country Rd
Suite 102
Clifton Park, NY 12065-3838

Phone

(518) 371-5113

Fax

(518) 371-5429

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1912145194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "SUITE 102",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-371-5113",
            "fax_number": "518-371-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "SUITE 102",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-371-5113",
            "fax_number": "518-371-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSER",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "36462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ponessa III, PT
• Jose Posada, MD
• Tatyana Poviliunas, PMHNP
• Grisha Pradhan
• Carie Preece
• Prestige Services, Inc.
• Jennifer Lynn Price, LMHC
• Prime Time 786 Inc (Prime Time Taxi)
• Ann Marie Pro
• Proactive Chiropractic, PLLC

• General Practice Dentistry in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.