Individual provider Active NPI

Dennis Valerio, DDS

  • Dentist
  • Cambridge, NY
National Provider Identifier
1982634515
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34114 Issued in NY
Practice address
33 Gilbert St
Suite 4
Cambridge, NY 12816-2643
Phone
(518) 677-5517
NPI assigned
Jul 3, 2006
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34114 NY Primary

Addresses

Primary practice location

33 Gilbert St
Suite 4
Cambridge, NY 12816-2643

Mailing address

2651 State Route 40
Greenwich, NY 12834-2303
Phone (518) 692-9333

Other identifiers 1

IdentifierTypeStateIssuer
00034114MedicaidNY

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
I20150608000185 NY Practitioner - DentistPractitioner - Oral Surgery 8820319544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34114NYMDAddiction (Substance Use Disorder) Counselor
034114NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwhich Family Dentistry Past Accepting new patients
New York Epilepsy Medicine, PC Past Accepting new patients
Center for Disablity Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dennis.valerio.p1@direct.cfdsny.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1982634515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 STATE ROUTE 40",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128342303",
            "telephone_number": "518-692-9333",
            "fax_number": "518-692-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST",
            "address_2": "SUITE 4",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162643",
            "telephone_number": "518-677-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "DENNIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "34114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, NY

Sources for this page

Verify at the official NPI Registry.