Individual provider Active NPI

Simon Orin Flamm, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1134102791
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049618 Issued in NY
Practice address
361 W 46TH St
Suite 2F
New York, NY 10036-3805
Phone
(212) 956-1767
Fax
(212) 956-1767
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049618 NY Primary

Addresses

Primary practice location

361 W 46TH St
Suite 2F
New York, NY 10036-3805

Mailing address

PO Box 457
Times Square Station
New York, NY 10108-0457
Phone (212) 956-1767

Other identifiers 1

IdentifierTypeStateIssuer
02208648MedicaidNY

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
049618NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134102791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "TIMES SQUARE STATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101080457",
            "telephone_number": "212-956-1767",
            "fax_number": "212-956-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 W 46TH ST",
            "address_2": "SUITE 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363805",
            "telephone_number": "212-956-1767",
            "fax_number": "212-956-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMM",
        "first_name": "SIMON",
        "middle_name": "ORIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.