Danielle L Sim DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

054654 Issued in NY

Legal business name

DANIELLE L SIM DMD PC

Doing business as

Main Dental Group

Practice address

3901 Main St Ste 211
Flushing, NY 11354-5435

Phone

(718) 710-1893

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Danielle L Sim, DMD

Title

President

Phone

(718) 710-1893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main Dental Group Doing business as

Locations

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1356775316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST STE 211",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545435",
            "telephone_number": "718-710-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST STE 211",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545435",
            "telephone_number": "718-710-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE L SIM DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-710-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03161864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ira Dananberg, BC-HIS
• Daniel Kim, M.D., Total Eye Care, P.C.
• Daniel Miller DO PLLC
• Lauren Daniel
• Lena Ann Daniel, PA
• Danielle Pepe (Danielle Pepe Psychology PC)
• Danimark Physical Therapy, P.C.
• Menachem Mark Darwish, DDS
• Malabika Das, MSW
• Urmi Das

• Dentist in Flushing, NY
• Providers in Flushing, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.