Active NPI
David A Adler, DDS
- General Practice Dentistry
- Commack, NY
National Provider Identifier
1992830947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27985
- Practice address
- 77 Veterans Memorial Hwy
Suite 2
Commack, NY 11725-3410 - Phone
- (631) 499-5663
- Fax
- (631) 368-4325
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27985 | NY | Primary |
Addresses
Primary practice location
77 Veterans Memorial Hwy
Suite 2
Commack, NY 11725-3410
Mailing address
77 Veterans Memorial Hwy
Suite 2
Commack, NY 11725-3410
Phone (631) 499-5663
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27985 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceldent Dental of Commack | General Practice | 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": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1992830947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 VETERANS MEMORIAL HWY",
"address_2": "SUITE 2",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253410",
"telephone_number": "631-499-5663",
"fax_number": "631-368-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 VETERANS MEMORIAL HWY",
"address_2": "SUITE 2",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253410",
"telephone_number": "631-499-5663",
"fax_number": "631-368-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "27985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.