NPIMap

Organization Active NPI

Coop Citydental Associates PLLC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1003400805
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COOP CITYDENTAL ASSOCIATES PLLC
Practice address
2063B Bartow Ave
Bronx, NY 10475-4613
Phone
(718) 379-4734
Fax
(718) 379-6487
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Farzin Farokhzadeh, DDSNPI 1679789937
Title
Dentist/Owner
Phone
(646) 232-7067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2063B Bartow Ave
Bronx, NY 10475-4613

Mailing address

2063B Bartow Ave
Bronx, NY 10475-4613
Phone (718) 379-4734

Other names 1

  • city smiles dental Doing business as

National Provider Directory

National Provider Directory

Locations

2063 Bartow Ave
Ste B
Bronx, NY 10475
Phone (718) 379-2508

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1003400805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063B BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754613",
            "telephone_number": "718-379-4734",
            "fax_number": "718-379-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063B BARTOW AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754613",
            "telephone_number": "718-379-4734",
            "fax_number": "718-379-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOP CITYDENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "FAROKHZADEH",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "646-232-7067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "city smiles dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.