Organization Active NPI

Virendra Jhaveri DDS PC

Doing business as Prestige Dental Care

  • Dentist
  • Flushing, NY
National Provider Identifier
1154609550
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VIRENDRA JHAVERI DDS PC
Doing business as
Prestige Dental Care
Practice address
4370 Kissena Blvd
#Le
Flushing, NY 11355-3769
Phone
(718) 539-4465
NPI assigned
Aug 2, 2011
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Virendra JhaveriNPI 1336262229
Title
Owner
Phone
(718) 539-4465

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU

Addresses

Primary practice location

4370 Kissena Blvd
#Le
Flushing, NY 11355-3769

Mailing address

4370 Kissena Blvd
#Le
Flushing, NY 11355-3769
Phone (718) 539-4465

Other names 1

  • Prestige Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4370 Kissena Blvd
Ste Le
Flushing, NY 11355
Phone (718) 539-4465

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1154609550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD",
            "address_2": "#LE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553769",
            "telephone_number": "718-539-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD",
            "address_2": "#LE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553769",
            "telephone_number": "718-539-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRENDRA JHAVERI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "JHAVERI",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-539-4465"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.