Individual provider Active NPI

Sheikh MD Matiur Rahman, DDS

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1346258597
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050680 Issued in NY
Practice address
7207 35TH Ave
First-Floor
Jackson Heights, NY 11372-4005
Phone
(718) 476-3666
Fax
(718) 478-4580
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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 050680 NY Primary

Addresses

Primary practice location

7207 35TH Ave
First-Floor
Jackson Heights, NY 11372-4005

Mailing address

7207 35TH Ave
First-Floor
Jackson Heights, NY 11372-4005
Phone (718) 476-3666

Other identifiers 1

IdentifierTypeStateIssuer
02405278MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001110 NY Order and Referring Only - DentistPractitioner - Dentist 5799076097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Famous Dental Care PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1346258597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 35TH AVE",
            "address_2": "FIRST-FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724005",
            "telephone_number": "718-476-3666",
            "fax_number": "718-478-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 35TH AVE",
            "address_2": "FIRST-FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724005",
            "telephone_number": "718-476-3666",
            "fax_number": "718-478-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHEIKH",
        "middle_name": "MD MATIUR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02405278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.