Sam'S Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048767 Issued in NY

Legal business name

SAM'S FAMILY DENTAL

Practice address

39-79 61 Street Roosevelt Avenue
Woodside, NY 11377

Phone

(718) 429-5256

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep Bhagat, DMD

Title

Owner

Phone

(718) 429-5256

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockaway Dental Former legal business name

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1124289533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-79 61ST STREET ROOSEVELT AVENUE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-429-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-79 61 STREET ROOSEVELT AVENUE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-429-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BHAGAT",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-429-5256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockaway Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abigayle Saks
• Elliot Irwin Salenger, MD
• Charlotte Ledda Salgado, DPT
• Kylie Julyn Navarro Salmorin
• Salvacion Inc
• Deicy Sanchez Bedoya, LPN
• Elizabeth Maria Sanchez-West, LCSW
• Gildardo Sanchez
• Sanna Salam Medical PC
• Abraham D Santana

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.