Individual provider Active NPI

Armin Lalehzari, D.D.S.

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1003020256
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051768-1 Issued in NY
Practice address
44-02 Francis Lewis Blvd. #1C
Dazzling Smile Dental Group
Bayside, NY 11361-6546
Phone
(718) 255-7645
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051768-1 NY Primary

Addresses

Primary practice location

44-02 Francis Lewis Blvd. #1C
Dazzling Smile Dental Group
Bayside, NY 11361-6546

Mailing address

60 Old Courthouse Rd
New Hyde Park, NY 11040-1228
Phone (516) 578-3369

Other identifiers 1

IdentifierTypeStateIssuer
02678893MedicaidNY

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
051768-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dazzling Smile Dental Group of Port Washington, PLLC General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1003020256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OLD COURTHOUSE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401228",
            "telephone_number": "516-578-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-02 FRANCIS LEWIS BLVD. #1C",
            "address_2": "DAZZLING SMILE DENTAL GROUP",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113616546",
            "telephone_number": "718-255-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALEHZARI",
        "first_name": "ARMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051768-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02678893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.