Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366626012 Deactivated / Inactive NPI Male Practitioner

Dr. Ira List , DDS

Dentist - General Practice • Nyack, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ira List has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 18, 2007
NPI Deactivation Date May 17, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Ira List, DDS was a registered Dentist - General Practice practicing in Nyack, NY. Throughout an active medical career spanning 12 years, Dr. List provided care at the practice location at 99 N BROADWAY until profile deactivation on 2019-05-17.

Practice Location & Contact Primary Location

Practice Address

99 N Broadway

Nyack, NY 109602627

Telephone 8453581728
Fax 8453580854

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Nyack, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Nyack, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 028466

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1114183837

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 17, 2019

Record deactivated on May 17, 2019

NPI Profile Active December 18, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2007

Registered at 99 N BROADWAY, NYACK, NY 109602627 (Tel: 8453581728)

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Updated Business Mailing Address December 18, 2007

Registered at 99 N BROADWAY, NYACK, NY 109602627 (Tel: 8453581728)

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Provider Name / Credentials Updated December 18, 2007

Recorded as IRA LIST, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2007

Dentist (License #028466 in NY)

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Initial NPI Registration & Enumeration December 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366626012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2007
Last Update: December 18, 2007
Deactivation Date: May 17, 2019

Mailing Address

99 N Broadway

Nyack, NY 109602627

Phone: 8453581728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.