Active NPI
Ismile Dental Care of Bloomfield
- Dentist
- Bloomfield, NJ
National Provider Identifier
1124631478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ISMILE DENTAL CARE OF BLOOMFIELD
- Practice address
- 1455 Broad St Ste 105
Bloomfield, NJ 07003-3039 - Phone
- (347) 331-6681
- NPI assigned
- Aug 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahmed Beheiry, DDS
- Title
- Owner
- Phone
- (347) 331-6681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1455 Broad St Ste 105
Bloomfield, NJ 07003-3039
Mailing address
1455 Broad St Ste 105
Bloomfield, NJ 07003-3039
Phone (347) 331-6681
National Provider Directory
National Provider DirectoryLocations
1455 Broad St
Ste 105
Bloomfield, NJ 07003
Phone (347) 331-6681
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1851667414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598400000000",
"number": "1124631478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 BROAD ST STE 105",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033039",
"telephone_number": "347-331-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 BROAD ST STE 105",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033039",
"telephone_number": "347-331-6681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISMILE DENTAL CARE OF BLOOMFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A",
"authorized_official_last_name": "BEHEIRY",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-331-6681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.