Organization Active NPI

Woodhaven Dental, P.C.

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1184959660
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOODHAVEN DENTAL, P.C.
Practice address
91-23 Queens Blvd
Elmhurst, NY 11373-5531
Phone
(718) 943-8680
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Mike Zarrinnegar, D.D.S.
Title
President
Phone
(646) 402-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

91-23 Queens Blvd
Elmhurst, NY 11373-5531

Mailing address

91-23 Queens Blvd
Elmhurst, NY 11373-5531

National Provider Directory

National Provider Directory

Locations

9123 Queens Blvd
Elmhurst, NY 11373
Phone (718) 205-2055

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1184959660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-23 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-23 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "718-943-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "ZARRINNEGAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-402-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.