Individual provider Active NPI

Richard William Kaden, D.D.S.

  • Endodontics
  • Massapequa, NY
National Provider Identifier
1992856041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
037835 Issued in NY
Practice address
552 Broadway
2ND Floor
Massapequa, NY 11758-5014
Phone
(516) 541-3636
Fax
(516) 541-4382
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 037835 NY Primary

Addresses

Primary practice location

552 Broadway
2ND Floor
Massapequa, NY 11758-5014

Mailing address

552 Broadway
2ND Floor
Massapequa, NY 11758-5014
Phone (516) 541-3636

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
037835NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992856041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585014",
            "telephone_number": "516-541-3636",
            "fax_number": "516-541-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585014",
            "telephone_number": "516-541-3636",
            "fax_number": "516-541-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADEN",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "037835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.