Organization Active NPI

Dazzling Smile Dental Group PLLC

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1225350887
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAZZLING SMILE DENTAL GROUP PLLC
Practice address
4402 Francis Lewis Blvd
Suite 1C
Bayside, NY 11361-3041
Phone
(718) 225-7645
Fax
(718) 352-0800
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Armin Lalehzari, DDS
Title
Owner
Phone
(718) 225-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4402 Francis Lewis Blvd
Suite 1C
Bayside, NY 11361-3041

Mailing address

4402 Francis Lewis Blvd
Suite 1C
Bayside, NY 11361-3041

National Provider Directory

National Provider Directory

Locations

4402 Francis Lewis Blvd
Ste 1C
Bayside, NY 11361
Phone (718) 225-7645

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1225350887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 1C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 1C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-225-7645",
            "fax_number": "718-352-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLING SMILE DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "LALEHZARI",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-225-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.