MN Denatlcare LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044837 Issued in NY

Legal business name

MN DENATLCARE LLC

Practice address

3723 78TH St
Jackson Heights, NY 11372-6631

Phone

(718) 899-2925

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Meser Ahmed, D.D.S. ,PH.D.

Title

President

Phone

(718) 899-2925

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1033460753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 78TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726631",
            "telephone_number": "718-899-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 78TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726631",
            "telephone_number": "718-899-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN DENATLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MESER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-899-2925",
        "authorized_official_credential": "D.D.S. ,PH.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.