Individual provider Active NPI

Bahareh Hourizadeh, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1295939767
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050037 Issued in NY
Practice address
135 W 27TH St
New York, NY 10001-6226
Phone
(212) 594-7171
Fax
(212) 447-0896
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 050037 NY Primary

Addresses

Primary practice location

135 W 27TH St
New York, NY 10001-6226

Mailing address

3 Broadlawn Ave
Great Neck, NY 11024-1505
Phone (516) 467-4378

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
050037NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1295939767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BROADLAWN AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241505",
            "telephone_number": "516-467-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016226",
            "telephone_number": "212-594-7171",
            "fax_number": "212-447-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURIZADEH",
        "first_name": "BAHAREH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.