Organization Active NPI

Carle Place Dental, P.C.

  • Dentist
  • Carle Place, NY
National Provider Identifier
1255688974
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053328 Issued in NY
Legal business name
CARLE PLACE DENTAL, P.C.
Practice address
407 E Jericho Tpke
Carle Place, NY 11514-1027
Phone
(516) 747-8150
Fax
(516) 747-8152
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Ali John Jazayeri, D.D.S.
Title
President
Phone
(917) 528-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053328 NY Primary

Addresses

Primary practice location

407 E Jericho Tpke
Carle Place, NY 11514-1027

Mailing address

407 E Jericho Tpke
Carle Place, NY 11514-1027
Phone (516) 747-8150

National Provider Directory

National Provider Directory

Locations

407 E Jericho Tpke
Carle Place, NY 11514
Phone (516) 747-8150

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1255688974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E JERICHO TPKE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141027",
            "telephone_number": "516-747-8150",
            "fax_number": "516-747-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E JERICHO TPKE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141027",
            "telephone_number": "516-747-8150",
            "fax_number": "516-747-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE PLACE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "JAZAYERI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-528-1092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.