Island Paradise Dental LLC

Key facts

NPI

1013759539

Entity type

Organization (NPI type 2)

Primary specialty

Dental Clinic/Center 261QD0000X

Legal business name

ISLAND PARADISE DENTAL LLC

Practice address

260-A Great Cruz Bay
Palm Plaza Unit 1-a
Cruz Bay, VI 00831

Phone

(340) 693-8898

NPI assigned

Jun 7, 2024

Organization subpart

No

Authorized official

Name

Dr. Ramesh Kianfar, DMD NPI 1093826505

Title

President

Phone

(201) 724-0600

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

Practitioners 1

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

• Ramesh Kianfar, DMD Dentist · St John, VI · NPI 1093826505
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other names

• ST JOHN DENTAL Doing business as
• ST. JOHN DENTAL Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2024.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1013759539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8326",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008318326",
            "telephone_number": "340-693-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260-A GREAT CRUZ BAY",
            "address_2": "PALM PLAZA UNIT 1-A",
            "city": "CRUZ BAY",
            "state": "VI",
            "postal_code": "00831",
            "telephone_number": "340-693-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PARADISE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KIANFAR",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-724-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHN DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. JOHN DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cruz Bay, VI

• Paradise Healthcare Services
• Jessica M Schnell, D.P.T.

All providers in Cruz Bay, VI · Dental Clinic/Center in U.S. Virgin Islands