Port Washington Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PORT WASHINGTON DENTAL

Practice address

27 S Bayles Ave
Port Washington, NY 11050-3708

Phone

(516) 883-1234

Fax

(516) 883-1357

NPI assigned

Sep 16, 2014

Organization subpart

Yes

Parent organization

S S SALEM DDS,PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Sultan S Salem, DDS

Title

Dentist/Owner

Phone

(516) 883-1234

Specialties & licenses 1

Addresses

Part of

Port Washington Dental

Locations

Practitioners 2

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

• Paul A. Eisen, D.M.D.

  • Prosthodontics
  • Port Washington, NY
  • NPI 1285705582
  NPD (past)
• Farah Sarwari

  • Dentist
  • Port Washington, NY
  • NPI 1023715802
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1013319508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S BAYLES AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503708",
            "telephone_number": "516-883-1234",
            "fax_number": "516-883-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S BAYLES AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503708",
            "telephone_number": "516-883-1234",
            "fax_number": "516-883-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT WASHINGTON DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S S SALEM DDS,PLLC",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "516-883-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Care Pediatric NP PLLC
• Port Chemist Inc
• Port Counseling Center Inc
• Port Physical Therapy
• Port Salem Pharmacy Corp
• Port Washington Dental Associates
• Port Washington Dental Care
• Port Washington Fire Department Inc
• Port Washington Hearing Center LLC
• Port Washington Medical Rehabilitation PLLC

• Dentist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.