Organization Active NPI

Saleh Elahwal Dentistry PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1447500053
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042462-1 Issued in NY
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

Updated by the provider on Jul 14, 2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01161471MedicaidNY

Other names 1

  • DENTAL ART CARE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.