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David Derisse, DMD
NPI 1396958146 · Dentist · New York, NY
David Derisse, DMD is a Dentist provider in New York, NY (NPI 1396958146).
Provider details
- NPI number
- 1396958146
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051680 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
129 Wadsworth Ave Apt 3
New York, NY 10033-4831
Phone: (212) 923-0505
Fax: (212) 568-5960
Street-level locationGet directions
Mailing address
211 W 6th Ave
Roselle, NJ 07203-1127
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is David Derisse's NPI number?
- David Derisse's National Provider Identifier (NPI) is 1396958146, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is David Derisse's specialty?
- David Derisse is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is David Derisse located?
- David Derisse's practice location on file with NPPES is 129 Wadsworth Ave Apt 3, New York, NY 10033-4831.
- What is David Derisse's phone number?
- The practice phone number listed in the NPPES registry for David Derisse is (212) 923-0505.
- Is David Derisse's NPI active?
- Yes — David Derisse's NPI (1396958146) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.