Organization Active NPI

Brighter Dental, Implant PC.

  • Dental Clinic/Center
  • Brentwood, NY
National Provider Identifier
1285193334
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRIGHTER DENTAL, IMPLANT PC.
Practice address
820 Suffolk Ave
Brentwood, NY 11717-4498
Phone
(631) 231-5566
Fax
(631) 231-0561
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Dr. Matthew Ghadami, DDS
Title
Dentist
Phone
(631) 231-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

820 Suffolk Ave
Brentwood, NY 11717-4498

Mailing address

820 Suffolk Ave
Brentwood, NY 11717-4498
Phone (631) 231-5566

Other names 1

  • Brighter Dental, Implant PC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1285193334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-231-5566",
            "fax_number": "631-231-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-231-5566",
            "fax_number": "631-231-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DENTAL, IMPLANT PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "GHADAMI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-231-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Dental, Implant PC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.