Individual provider Active NPI

Frank J Tarantino, DDS

  • Dentist
  • Massapequa Park, NY
National Provider Identifier
1972782332
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50-052857 Issued in NY
Practice address
4891 Merrick Rd
Massapequa Park, NY 11762-3804
Phone
(516) 308-7121
Fax
(516) 308-7122
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50-052857 NY Primary

Addresses

Primary practice location

4891 Merrick Rd
Massapequa Park, NY 11762-3804

Mailing address

4891 Merrick Rd
Massapequa Park, NY 11762-3804
Phone (516) 308-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50-052857NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Aesthetic Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1972782332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 MERRICK RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623804",
            "telephone_number": "516-308-7121",
            "fax_number": "516-308-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 MERRICK RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623804",
            "telephone_number": "516-308-7121",
            "fax_number": "516-308-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50-052857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.