NPIMap

Organization Active NPI

Innabi Dental Care, PC

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1134591613
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057890 Issued in NY
Legal business name
INNABI DENTAL CARE, PC
Practice address
944 N Broadway Ste 105
Yonkers, NY 10701-1315
Phone
(914) 327-4300
Fax
(914) 327-4303
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Mousa I Innabi, DDSNPI 1619397908
Title
Dentist/Owner
Phone
(914) 327-4300

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 057890 NY Primary

Addresses

Primary practice location

944 N Broadway Ste 105
Yonkers, NY 10701-1315

Mailing address

944 N Broadway Ste 105
Yonkers, NY 10701-1315
Phone (914) 327-4300

National Provider Directory

National Provider Directory

Locations

944 N Broadway
Ste 105
Yonkers, NY 10701
Phone (914) 327-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1134591613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 105",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011315",
            "telephone_number": "914-327-4300",
            "fax_number": "914-327-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY STE 105",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011315",
            "telephone_number": "914-327-4300",
            "fax_number": "914-327-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNABI DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "INNABI",
        "authorized_official_first_name": "MOUSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "914-327-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.