Individual provider Active NPI

Dalia Daniali, DMD

  • Dentist
  • Rego Park, NY
National Provider Identifier
1295307338
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02848500 Issued in NJ
Practice address
6560 Wetherole St Apt 1H
Rego Park, NY 11374-4724
Phone
(347) 662-4944
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02848500 NJ Primary

Addresses

Primary practice location

6560 Wetherole St Apt 1H
Rego Park, NY 11374-4724

Mailing address

6560 Wetherole St Apt 1H
Rego Park, NY 11374-4724
Phone (347) 662-4944

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
22DI02848500NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1295307338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 WETHEROLE ST APT 1H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744724",
            "telephone_number": "347-662-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 WETHEROLE ST APT 1H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744724",
            "telephone_number": "347-662-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIALI",
        "first_name": "DALIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02848500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

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