NPIMap

Organization Active NPI

Austin Dental Care

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1376799510
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUSTIN DENTAL CARE
Practice address
7017 Austin St
#3D
Forest Hills, NY 11375-4722
Phone
(718) 544-4440
Fax
(718) 233-2723
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Faranak Balazadeh, DDSNPI 1700959640
Title
Dentist
Phone
(718) 544-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

7017 Austin St
#3D
Forest Hills, NY 11375-4722

Mailing address

7017 Austin St
#3D
Forest Hills, NY 11375-4722
Phone (718) 544-4440

Other identifiers 2

IdentifierTypeStateIssuer
02117742MedicaidNY
02374876MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Austin Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7017 Austin St
#3D
Forest Hills, NY 11375
Phone (718) 544-4440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1376799510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 AUSTIN ST",
            "address_2": "#3D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754722",
            "telephone_number": "718-544-4440",
            "fax_number": "718-233-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 AUSTIN ST",
            "address_2": "#3D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754722",
            "telephone_number": "718-544-4440",
            "fax_number": "718-233-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BALAZADEH",
        "authorized_official_first_name": "FARANAK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-544-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02117742",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02374876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.