NPIMap

Organization Active NPI

Upper East Side Dentistry,PLLC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1407087075
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047925 Issued in NY
Legal business name
UPPER EAST SIDE DENTISTRY,PLLC
Practice address
175 E 74TH St
1A
New York, NY 10021-3218
Phone
(212) 737-1787
Fax
(212) 706-0197
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Freda Seifoddini, DDSNPI 1427170786
Title
Dentist/Owner
Phone
(212) 737-1787

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 047925 NY Primary

Addresses

Primary practice location

175 E 74TH St
1A
New York, NY 10021-3218

Mailing address

175 E 74TH St
1A
New York, NY 10021-3218
Phone (212) 737-1787

National Provider Directory

National Provider Directory

Locations

175 E 74th St
Ste 1A
New York, NY 10021
Phone (212) 737-1787

Practitioners & affiliated clinicians

Practitioners 2

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": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1407087075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 74TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213218",
            "telephone_number": "212-737-1787",
            "fax_number": "212-706-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E 74TH ST",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213218",
            "telephone_number": "212-737-1787",
            "fax_number": "212-706-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST SIDE DENTISTRY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "SEIFODDINI",
        "authorized_official_first_name": "FREDA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "212-737-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047925",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2009; 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.