Organization Active NPI

Dental Universe

  • Dentist
  • Woodhaven, NY
National Provider Identifier
1104147313
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052741 Issued in NY
Legal business name
DENTAL UNIVERSE
Practice address
9110 Jamaica Ave
Woodhaven, NY 11421-2105
Phone
(718) 805-4444
Fax
(718) 805-4449
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Shahin Rahmanian, DDS
Title
Owner
Phone
(718) 805-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052741 NY Primary

Addresses

Primary practice location

9110 Jamaica Ave
Woodhaven, NY 11421-2105

Mailing address

9110 Jamaica Ave
Woodhaven, NY 11421-2105
Phone (718) 805-4444

Other identifiers 1

IdentifierTypeStateIssuer
02783824MedicaidNY

National Provider Directory

National Provider Directory

Locations

9110 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 819-1414

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1104147313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212105",
            "telephone_number": "718-805-4444",
            "fax_number": "718-805-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212105",
            "telephone_number": "718-805-4444",
            "fax_number": "718-805-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL UNIVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "RAHMANIAN",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-805-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02783824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.