Saratoga Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051533 Issued in NY

Legal business name

SARATOGA DENTAL PLLC

Practice address

409 Geyser Rd
Suite B
Ballston Spa, NY 12020-3022

Phone

(518) 583-3553

Fax

(518) 583-4676

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shazia Mehdi, DDSNPI 1447337555

Title

Owner

Phone

(917) 379-3677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shazia Mehdi, DDS

  • General Practice Dentistry
  • Saratoga Springs, NY
  • NPI 1447337555
  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1154592988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 GEYSER RD",
            "address_2": "SUITE B",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-583-3553",
            "fax_number": "518-583-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 GEYSER RD",
            "address_2": "SUITE B",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-583-3553",
            "fax_number": "518-583-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-379-3677",
        "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": "051533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saratoga County
• Saratoga County Department of Health
• Saratoga County Department of Health
• Saratoga County Department of Health
• Saratoga County Department of Health
• Saratoga Hospital
• Saratoga Hospital
• Saratoga Regional Medical , P.C
• Callie M Savoie, L.P.N
• Karissa Scarabino, DO, MPH

• General Practice Dentistry in Ballston Spa, NY
• Providers in Ballston Spa, 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 Mar 19, 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.