Organization Active NPI

Sunflower Dental Group PC

Doing business as Sunflower Dental Group

  • General Practice Dentistry
  • Teaneck, NJ
National Provider Identifier
1407677685
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNFLOWER DENTAL GROUP PC
Doing business as
Sunflower Dental Group
Practice address
265 Cedar LN Ste 203
Floor 3
Teaneck, NJ 07666-3444
Phone
(201) 488-1164
Fax
(201) 488-1137
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Maryam Jahansouz, D.D.S.NPI 1366509010
Title
Owner/General Dentist
Phone
(201) 488-1164

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 Primary

Addresses

Primary practice location

265 Cedar LN Ste 203
Floor 3
Teaneck, NJ 07666-3444

Mailing address

265 Cedar LN
Floor 3
Teaneck, NJ 07666-3444
Phone (201) 488-1164

Other names 1

  • Sunflower Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

265 Cedar Ln
Fl 3
Teaneck, NJ 07666
Phone (201) 488-1164

265 Cedar Ln
Ste 203
Teaneck, NJ 07666
Phone (201) 488-1164

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1407677685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN",
            "address_2": "FLOOR 3",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-488-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN STE 203",
            "address_2": "FLOOR 3",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-488-1164",
            "fax_number": "201-488-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "JAHANSOUZ",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "201-488-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunflower Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.