Individual provider Active NPI

Umesh Kumar Mahindra, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1396737862
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034658 Issued in NY
Practice address
630 9TH Ave
C/O Smile Dental
New York, NY 10036-3708
Phone
(212) 265-6419
Fax
(212) 265-6423
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 034658 NY Primary

Addresses

Primary practice location

630 9TH Ave
C/O Smile Dental
New York, NY 10036-3708

Mailing address

630 9TH Ave
C/O Smile Dental
New York, NY 10036-3708
Phone (212) 265-6419

Other identifiers 1

IdentifierTypeStateIssuer
00418135MedicaidNY

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
034658NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Smile Dental, P.C. 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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396737862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 9TH AVE",
            "address_2": "C/O SMILE DENTAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363708",
            "telephone_number": "212-265-6419",
            "fax_number": "212-265-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 9TH AVE",
            "address_2": "C/O SMILE DENTAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363708",
            "telephone_number": "212-265-6419",
            "fax_number": "212-265-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHINDRA",
        "first_name": "UMESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418135",
            "state": "NY"
        }
    ],
    "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 Jul 13, 2026; 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.