Ali Modiri DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050220 Issued in NY

Legal business name

ALI MODIRI DDS PC

Practice address

44 Strawberry Hill Ave
Suite 1
Stamford, CT 06902-2632

Phone

(203) 504-5870

NPI assigned

Apr 21, 2011

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali Modiri, DENTIST

Title

President

Phone

(917) 658-5823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1114218427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 64TH ST APT W3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657862",
            "telephone_number": "917-658-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE",
            "address_2": "SUITE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "203-504-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI MODIRI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MODIRI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-658-5823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.