Individual provider Active NPI

Amir Sadighpour, D.D.S.

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1194952531
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0549941 Issued in NY
Practice address
10820 62ND Dr
Apt 4D
Forest Hills, NY 11375-1262
Phone
(646) 287-1421
NPI assigned
Jun 12, 2009
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 0549941 NY Primary

Addresses

Primary practice location

10820 62ND Dr
Apt 4D
Forest Hills, NY 11375-1262

Mailing address

827 Ibsen St
Woodmere, NY 11598-2322
Phone (646) 287-1421

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
0549941NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1194952531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 IBSEN ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982322",
            "telephone_number": "646-287-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 62ND DR",
            "address_2": "APT 4D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751262",
            "telephone_number": "646-287-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIGHPOUR",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0549941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.