Organization Active NPI

Rock a Smile Dental Studio PLLC

  • Dental Clinic/Center
  • Ozone Park, NY
National Provider Identifier
1487274445
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROCK A SMILE DENTAL STUDIO PLLC
Practice address
9708 Rockaway Blvd
Ozone Park, NY 11417-1615
Phone
(178) 360-1166
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Dr. Rbeea Khan, DDS
Title
Owner
Phone
(646) 643-7472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9708 Rockaway Blvd
Ozone Park, NY 11417-1615

Mailing address

9708 Rockaway Blvd
Ozone Park, NY 11417-1615
Phone (178) 360-1166

National Provider Directory

National Provider Directory

Locations

9708 Rockaway Blvd
Ozone Park, NY 11417

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1487274445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 ROCKAWAY BLVD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171615",
            "telephone_number": "178-360-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 ROCKAWAY BLVD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171615",
            "telephone_number": "178-360-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK A SMILE DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RBEEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-643-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.