Active NPI
Waleed Mugally Saidi, DDS
- Dentist
- Astoria, NY
National Provider Identifier
1104800432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 050236
- Practice address
- 3003 30TH Ave Ste 2
Dental Smile PC
Astoria, NY 11102-2168 - Phone
- (917) 582-0802
- Fax
- (917) 582-0802
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050236 | NY | Primary |
Addresses
Primary practice location
3003 30TH Ave Ste 2
Dental Smile PC
Astoria, NY 11102-2168
Mailing address
132-41 114 PL
South Ozone Park, NY 11420
Phone (917) 582-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02333080 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050236 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentalsmilep.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Astoria, NY
- NPI 1235300898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1104800432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132-41 114 PL",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "11420",
"telephone_number": "917-582-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 30TH AVE STE 2",
"address_2": "DENTAL SMILE PC",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022168",
"telephone_number": "917-582-0802",
"fax_number": "917-582-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIDI",
"first_name": "WALEED",
"middle_name": "MUGALLY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "050236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02333080",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.