Great Care Dental

Primary specialty

DentistTaxonomy code 122300000X

License

048121 Issued in NY

Legal business name

GREAT CARE DENTAL

Practice address

8928 Merrick Blvd
Jamaica, NY 11432-5277

Phone

(718) 291-9456

NPI assigned

Sep 4, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kourosh Merhnia, DDS

Title

Owner

Phone

(718) 291-9456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1396113551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325277",
            "telephone_number": "718-291-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8928 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325277",
            "telephone_number": "718-291-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MERHNIA",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-291-9456",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.