Individual provider Active NPI

Waleed Mugally Saidi, DDS

  • Dentist
  • Astoria, NY
National Provider Identifier
1104800432
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050236 Issued in NY
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

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02333080MedicaidNY

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

LicenseStateTypeSpecialty
050236NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.