JAMES LEONARD DESANTIS (NPI# 1295898286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295898286 |
| Entity Type | Individual |
| Full Name | JAMES LEONARD DESANTIS |
| Credential | DDS & MD |
| Practice Address |
535 Columbia Drive Johnson City NY 13790 |
| Mailing Address |
535 Columbia Dr Johnson City NY 13790-3302 |
| Practice Telephone | 6077295900 |
| Practice Fax Number | 6077296500 |
| Mailing Telephone | 6077295900 |
| Mailing Fax Number | 6077296500 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
048526 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02395297 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659326650 | James M Desantis | Emergency Medicine | 400 Westpark Ct, Ste 230, Peachtree City, GA 30269-3571 | 2006-05-24 |
| 1518313279 | James J Desantis | Social Worker | 156 Haverhill Ave, Woodland Park, NJ 07424-3015 | 2016-05-11 |
| 1760837215 | James Michael Desantis | Counselor | 800 Cummings Ctr, Ste 364-u, Beverly, MA 01915-6175 | 2016-05-03 |
| 1649201963 | James P Desantis | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-07-05 |
| Street Address |
535 COLUMBIA DRIVE |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750586 | Sandford W Prince | Dentist | 2306 Knob Creek Road #108, Knob Creek Oral Clinic, Johnson City, TN 37604 | 2006-02-23 |
| 1104812213 | Martin R Pittman Dds Ms PC | Dentist | 111 W Fairview Ave, Johnson City, TN 37604-5632 | 2005-09-23 |
| 1295736569 | Carl W Eilers Jr. | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 2005-08-09 |
| 1427163666 | The Regional Center for Oral & Maxillofacial Surgery, PC | Dentist | 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 | 2006-08-20 |
| 1588634471 | Charles Edward Witkowski Sr. | Dentist | 1021 W Oakland Ave, Suite 109, Johnson City, TN 37604-2191 | 2006-01-24 |
| 1518969229 | L Alan Bacon Dds PC & John Collins Dds PC | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.