Active NPI
Saleh Elahwal Dentistry PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1447500053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 042462-1
- Legal business name
- SALEH ELAHWAL DENTISTRY PC
- Practice address
- 481 83Rd Street
2ND Floor
Brooklyn, NY 11209 - Phone
- (718) 748-1122
- Fax
- (718) 748-9400
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saleh A Elahwal, D.D.S
- Title
- Owner/Operator
- Phone
- (718) 748-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 042462-1 | NY | Primary |
Addresses
Primary practice location
481 83Rd Street
2ND Floor
Brooklyn, NY 11209
Mailing address
481 83Rd Street
2ND Floor
Brooklyn, NY 11209
Phone (718) 748-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01161471 | Medicaid | NY |
Other names 1
- DENTAL ART CARE
National Provider Directory
National Provider DirectoryLocations
481 83rd St
Fl 2
Brooklyn, NY 11209
Phone (718) 748-1122
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1487933826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468454400000",
"number": "1447500053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 83RD STREET",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-748-1122",
"fax_number": "718-748-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 83RD STREET",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-748-1122",
"fax_number": "718-748-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEH ELAHWAL DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-12",
"last_updated": "2016-07-14",
"status": "A",
"authorized_official_last_name": "ELAHWAL",
"authorized_official_first_name": "SALEH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "718-748-1122",
"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": "NY",
"license": "042462-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01161471",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DENTAL ART CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.