Individual provider Active NPI

Vincent D'Appolonia, D.M.D.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1922052455
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033463 Issued in NY
Practice address
860 Grand Concourse
Suite 1M
Bronx, NY 10451-2814
Phone
(718) 993-4343
Fax
(718) 401-2969
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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 033463 NY Primary

Addresses

Primary practice location

860 Grand Concourse
Suite 1M
Bronx, NY 10451-2814

Mailing address

860 Grand Concourse
Suite 1M
Bronx, NY 10451-2814
Phone (718) 993-4343

Other identifiers 1

IdentifierTypeStateIssuer
00493921MedicaidNY

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
I20150611000527 NY Order and Referring Only - DentistPractitioner - Dentist 1557682853

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1922052455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 GRAND CONCOURSE",
            "address_2": "SUITE 1M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512814",
            "telephone_number": "718-993-4343",
            "fax_number": "718-401-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 GRAND CONCOURSE",
            "address_2": "SUITE 1M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104512814",
            "telephone_number": "718-993-4343",
            "fax_number": "718-401-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'APPOLONIA",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.