NPIMap

Organization Active NPI

Simple Dental, PLLC

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1053044073
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMPLE DENTAL, PLLC
Practice address
2165 Broadway
New York, NY 10024-6603
Phone
(646) 809-7511
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Dr. Waleed Ben Elchami, DMD
Title
Dentist/Owner
Phone
(917) 575-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2165 Broadway
New York, NY 10024-6603

Mailing address

2165 Broadway
New York, NY 10024-6603

Other names 1

  • dnt bar UWS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DNT Bar Uws5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2165 Broadway
New York, NY 10024
Phone (212) 877-2980

Practitioners & affiliated clinicians

Practitioners 1

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": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1053044073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246603",
            "telephone_number": "646-809-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "ELCHAMI",
        "authorized_official_first_name": "WALEED",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "917-575-5266",
        "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": "dnt bar UWS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.