DR. MINDY HOMER (NPI# 1508994492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508994492 |
Entity Type | Individual |
Full Name | DR. MINDY HOMER |
Credential | D.D.S. |
Practice Address |
800 Community Dr Suite 200 Manhasset NY 11030-3821 |
Practice Telephone | 5168699500 |
Practice Fax Number | 5168699511 |
Mailing Telephone | 5168699500 |
Mailing Fax Number | 5168699511 |
Enumeration Date | 2007-03-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
051448 | NY | Dental Providers |
Street Address |
800 COMMUNITY DR SUITE 200 |
City | MANHASSET |
State | NY |
Zip Code | 11030-3821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043291248 | Community Cardiology,pc | Specialist | 800 Community Dr, Manhasset, NY 11030-3821 | 2005-11-07 |
1992304984 | Jennifer Cardenas | Nurse Practitioner | 800 Community Dr, Manhasset, NY 11030-3822 | 2020-10-20 |
1073067971 | Frank R. Vezza M.d. PC | Internal Medicine | 800 Community Dr, Manhasset, NY 11030-3822 | 2016-08-09 |
1275988644 | Nicholas Tucci, Dmd, PC | Clinic/Center | 800 Community Dr, Suite #305, Manhasset, NY 11030-3822 | 2016-05-04 |
1306225669 | Shyam Shivdasani Md Pllc | Internal Medicine | 800 Community Dr, Suite 207, Manhasset, NY 11030-3822 | 2015-05-20 |
1578951489 | Salina Thapa | Registered Nurse | 800 Community Dr, Manhasset, NY 11030-3822 | 2014-12-30 |
1649502287 | Omid Zack Javdan | Internal Medicine | 800 Community Dr, Manhasset, NY 11030-3822 | 2010-02-08 |
1992030662 | Carmen J Rodriguez, Md PC | Preferred Provider Organization | 800 Community Dr, Suite 215, Manhasset, NY 11030-3822 | 2009-10-13 |
1184896771 | Perry F Garber Md PC | Ophthalmology | 800 Community Dr, Suite 304, Manhasset, NY 11030-3822 | 2008-03-24 |
1780698480 | Robert Alan Kornfeld | Podiatrist | 800 Community Dr, Suite 102, Manhasset, NY 11030-3822 | 2006-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053651778 | Susan Minh Do | Dentist | 1201 Northern Blvd Ste 102, Manhasset, NY 11030-3001 | 2013-02-15 |
1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
1831351055 | Monica Sharma Tanna | Dentist | 450 Plandome Rd Ste 102, Manhasset, NY 11030-1937 | 2008-06-29 |
1659810232 | Hannah Callen | Dentist | 400 Community Dr, Manhasset, NY 11030-3815 | 2017-02-16 |
1780046086 | Sharona Shimunova | Dentist | 1201 Northern Blvd Ste 102, Manhasset, NY 11030 | 2016-03-25 |
1962892901 | Kiddsmiles II Pllc | Dentist | 1201 Northern Blvd, Ste 102, Manhasset, NY 11030-3037 | 2015-01-29 |
1003143207 | Tiana Hakimi | Dentist | 1201 Northern Blvd, Suite 102, Manhasset, NY 11030-3037 | 2009-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
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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.