Active NPI
Zehra Pradhan, D.D.S., M.D.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Stamford, CT
National Provider Identifier
1487854741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 009748
- Practice address
- 1200 High Ridge Rd
Stamford, CT 06905-1223 - Phone
- (203) 329-2712
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 009748 | CT | Primary |
Addresses
Primary practice location
1200 High Ridge Rd
Stamford, CT 06905-1223
Mailing address
100 Kensico St
Staten Island, NY 10306-1806
Phone (917) 647-7458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009748 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1487854741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KENSICO ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103061806",
"telephone_number": "917-647-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGH RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051223",
"telephone_number": "203-329-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "ZEHRA",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "009748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.